LISA LAURITZEN SMITH

JACKSON, WY
NPI1104464734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WY  071)
Enumeration Date2019-12-13
Last Update Date2021-02-18
Business Address
LISA LAURITZEN SMITH RDN
625 E BROADWAY AVE
JACKSON, WY 83001-8642
Phone number: 307-739-7357
Mailing Address
LISA LAURITZEN SMITH RDN
PO BOX 428
JACKSON, WY 83001-0428
Phone number: 307-739-7357