Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA RAE HASELHORST, R.D., L.D.N.
Active Sole ProprietorRegistered Dietitian · TRENTON, IL
Registration Details
- NPI Number
- 1609084532
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2007 (18.959143391601 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 N HARRISON STTRENTON, IL, 622931071Browse IL providers · Browse ZIP 62293
- Phone
- 6182249309
- Fax
- 6182242815
- Primary Specialty
-
Registered Dietitian
133V00000X
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.