Provider Demographics
NPI:1063542744
Name:TRONE, LISA CHRISTINE (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:CHRISTINE
Last Name:TRONE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 CONCORD BAINBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-3798
Mailing Address - Country:US
Mailing Address - Phone:850-539-3426
Mailing Address - Fax:
Practice Address - Street 1:1675 RIGGINS RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5315
Practice Address - Country:US
Practice Address - Phone:850-656-4800
Practice Address - Fax:850-656-4809
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 4291133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered