| Lisa Rae Haselhorst, RD, LDN | |
|
620 N Harrison St, Trenton, IL 62293-1071 | |
| (618) 224-9309 | |
| (618) 224-2815 |
| Full Name | Lisa Rae Haselhorst |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 620 N Harrison St, Trenton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609084532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Rae Haselhorst, RD, LDN 620 N Harrison St, Trenton, IL 62293-1071 Ph: (618) 224-9309 | Lisa Rae Haselhorst, RD, LDN 620 N Harrison St, Trenton, IL 62293-1071 Ph: (618) 224-9309 |
Medical Nutrition Therapists, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 510 N Harrison St, Trenton, IL 62293 Phone: 618-401-7675 | |
Quality Nutrition Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 N Harrison St, Trenton, IL 62293 Phone: 618-401-7675 Fax: 618-224-2815 |