LIZA JO LOCKLEAR

GREEN BAY, WI
NPI1932388212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WI  1610-29)
Enumeration Date2007-11-02
Last Update Date2021-02-10
Business Address
Mrs. LIZA JO LOCKLEAR RD CD CDE
2641 DEVELOPMENT DR
GREEN BAY, WI 54311-4240
Phone number: 920-338-6868
Mailing Address
Mrs. LIZA JO LOCKLEAR RD CD CDE
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222