Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA A EDEAL, RD
ActiveNutrition, Education · FAIRBURY, NE
Registration Details
- NPI Number
- 1548417298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2008 (17.695975787135 yrs)
- Last Updated
- Dec 28, 2009
- License
-
641 (NE)
Practice Information
- Address
-
2200 H STFAIRBURY, NE, 683521119Browse NE providers · Browse ZIP 68352
- Phone
- 4027296846
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.