Provider Demographics
NPI:1578988614
Name:SOUND BITES NUTRITION
Entity Type:Organization
Organization Name:SOUND BITES NUTRITION
Other - Org Name:LISA ANDREWS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, RD, LD
Authorized Official - Phone:513-675-6780
Mailing Address - Street 1:2918 LOSANTIRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1034
Mailing Address - Country:US
Mailing Address - Phone:513-675-6780
Mailing Address - Fax:
Practice Address - Street 1:11145 LUSCHEK DR
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45241-7416
Practice Address - Country:US
Practice Address - Phone:513-675-6780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3151251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health