Lisa M Stitzlein, R.D./L.D./M.ED.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.1970 Issued in OH

Practice address

1456 Park Ave W
RM. 122
Mansfield, OH 44906-2700

Phone

(419) 529-4602

Fax

(419) 529-4664

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750393500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 COUNTY ROAD 377",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448429302",
            "telephone_number": "419-529-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W",
            "address_2": "RM. 122",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062700",
            "telephone_number": "419-529-4602",
            "fax_number": "419-529-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITZLEIN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "R.D./L.D./M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylyn Stidam
• Sally Jo Stigall
• Kristy Stimens
• Michelle Nicole Stimpert, MD
• Jessica Ann Stiteler
• Amy Elizabeth Stofer, CNP
• Brandon Stone, CDCA
• Dakota L. Stone
• Nicola Irene Stone, COTA/L
• Valerie J Stone, LMT

• Registered Dietitian in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.