LISA WITHERSPOON

BROKEN ARROW, OK
NPI1275178907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   1096574)
Enumeration Date2019-11-18
Last Update Date2025-02-06
Business Address
LISA WITHERSPOON MS, RD
5004 S IRONWOOD AVE
BROKEN ARROW, OK 74011-3228
Phone number: 740-591-2581
Mailing Address
LISA WITHERSPOON MS, RD
14 VIA SIERRA GRANDE
MANITOU SPRINGS, CO 80829-2433
Phone number:
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