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Contact Information

LISA M HUBLITZ, RD, LD, CDE, CSP
5138 KLAMATH CT SE
SALEM, OR97306-1503
 Phone: 503-363-4002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LISA M HUBLITZ · (Female)

NPI # 1417236811
Status Active
Credentials RD, LD, CDE, CSP
Entity Individual
Enumeration date 08/16/2011
Last updated 08/16/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 803182
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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