Healthcare Provider Details

I. General information

NPI: 1295703916
Provider Name (Legal Business Name): LISA ANNE MARCH RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LISA ANNE HUGHES

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 S 3RD AVE
PASCO WA
99301-5620
US

IV. Provider business mailing address

PO BOX 2355
TACOMA WA
98401
US

V. Phone/Fax

Practice location:
  • Phone: 509-545-0205
  • Fax: 509-545-0212
Mailing address:
  • Phone: 800-310-4872
  • Fax: 877-328-4823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number809891
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number809891
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License NumberDI00001821
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI00001821
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: