NPI 1104145093

Jeannine Liloett Lise, RDCD

Practitioner Registered Dietitian Baraboo, WI

Practice location

Address: 707 14th St, Baraboo, WI 53913-1539
Phone: (608) 356-1400

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1104145093
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2010
Record last updated: 18 May 2010

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.