LISA ANNE BACON

MONROE, NC
NPI1699292433
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NC  L004760)
Additional Taxonomies133N00000X Nutritionist
(Licence: NC  L004760)
Enumeration Date2017-08-23
Last Update Date2017-08-23
Business Address
LISA ANNE BACON RDN
1224 W ROOSEVELT BLVD
MONROE, NC 28110-2820
Phone number: 704-296-4891
Mailing Address
LISA ANNE BACON RDN
10624 CORONET CT
HARRISBURG, NC 28075-8610
Phone number: 919-440-0424