NPI 1053819037

Lisa Gebauer Smith, RDCDN

Practitioner Registered Dietitian Lockport, NY

Practice location

Address: 111 Main St, Lockport, NY 14094-3718
Phone: (716) 438-4031
Mailing address: 1058 E Robinson St, North Tonawanda, NY 14120-4800

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence R577673 (NY)

Other Dietitian, Registered providers in New York →

Registry record

NPI: 1053819037
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2018
Record last updated: 25 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.