Lisa M Miller, C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2091-029 Issued in WI

Practice address

240 Maple Street
Woodruff, WI 54568

Phone

(715) 356-8018

Fax

(715) 356-8697

NPI assigned

Nov 7, 2008

Sex

Female

Sole proprietor

No

• Lisa M Dibos Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2022.

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1992959654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAPLE STREET",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "54568",
            "telephone_number": "715-356-8018",
            "fax_number": "715-356-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAPLE STREET",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "54568",
            "telephone_number": "715-356-8018",
            "fax_number": "715-356-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "C.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2091-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DIBOS",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• MCHS Hospitals Inc
• Heath J Meyer, MD
• Shannon S Meyer, DPM
• Michael J Mike, OTR
• Stephanie A Mikoliczak, PT
• Donna V Moore, RN
• Agatha Mroz, M.S.
• James E. Mullen, MD
• North Country Chiropractic & Wellness LLC
• North Country Chiropractic, S.C.

• All providers in Woodruff, WI
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.