LISA GEBAUER SMITH

LOCKPORT, NY
NPI1053819037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  R577673)
Enumeration Date2018-01-25
Last Update Date2018-01-25
Business Address
LISA GEBAUER SMITH RD,CDN
111 MAIN ST
LOCKPORT, NY 14094-3718
Phone number: 716-438-4031
Mailing Address
LISA GEBAUER SMITH RD,CDN
1058 E ROBINSON ST
NORTH TONAWANDA, NY 14120-4800
Phone number: 716-694-5112
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