NPI 1104464734

Lisa Lauritzen Smith, RDN

Practitioner Registered Dietitian Jackson, WY

Practice location

Address: 625 E Broadway Ave, Jackson, WY 83001-8642
Phone: (307) 739-7357
Mailing address: PO Box 428, Jackson, WY 83001-0428

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 071 (WY)

Other Dietitian, Registered providers in Wyoming →

Registry record

NPI: 1104464734
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2019
Record last updated: 18 Feb 2021

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.