Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA A STANSBURY, MS, LDN, RD, CDE
ActiveNutrition, Education · SHREVEPORT, LA
Registration Details
- NPI Number
- 1952541039
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2009 (17.178179740079 yrs)
- Last Updated
- Oct 16, 2023
- Licenses
-
429 (LA)429 (LA)
Practice Information
- Address
-
1455 E. BERT KOUNSHIGHLAND CLINIC, APMCSHREVEPORT, LA, 71105Browse LA providers · Browse ZIP 71105
- Phone
- 3187954715
- Fax
- 3187954719
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- Nutrition, Education
Other Nutrition, Education Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MISS JULIETTE SHIVERS | NUTRION PROFESSIONAL | 1669414801 |
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.