Provider Demographics
NPI:1295703916
Name:MARCH, LISA ANNE (RD)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ANNE
Last Name:MARCH
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:ANNE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2355
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401
Mailing Address - Country:US
Mailing Address - Phone:800-310-4872
Mailing Address - Fax:877-328-4823
Practice Address - Street 1:117 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-5620
Practice Address - Country:US
Practice Address - Phone:509-545-0205
Practice Address - Fax:509-545-0212
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
809891133V00000X, 133VN1005X
WADI00001821133VN1005X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8857284Medicare ID - Type Unspecified