LISA ELLEN FULLER

KNOXVILLE, TN
NPI1457958746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TN  1000893)
Additional Taxonomies133N00000X Nutritionist
(Licence: TN  2282)
Enumeration Date2020-10-08
Last Update Date2020-10-08
Business Address
LISA ELLEN FULLER MS, RD, LDN
3802 SEVIERVILLE PIKE # 2
KNOXVILLE, TN 37920-4551
Phone number: 540-293-3273
Mailing Address
LISA ELLEN FULLER MS, RD, LDN
3802 SEVIERVILLE PIKE # 2
KNOXVILLE, TN 37920-4551
Phone number: 540-293-3273