Most Relevant Information
Provider Data
| NPI Number: | 1003455684 |
| Provider Name: | LISA MARIE KARUZIE MS RD LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DN003516 |
Most Important Dates
| Enumeration Date: | 12/31/2019 |
| Last Updated: | 12/31/2019 |
Provider Practice Location
1111 EAST END BOULEVARD
WILKES-BARRE
PA
18711
Practice Location Phone/Fax
| Phone: | 5708243521 |
| Fax: |
Provider Mailing Location
177 NORTH MAIN STREET
OLD FORGE
PA
185181755
Provider Mailing Phone/Fax
| Phone: | 5702415784 |
| Fax: |