Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa I Pegram

Individual provider Registered Dietitian · NPI 1316824782

Lisa I Pegram is a Registered Dietitian in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

3323 Brooks Ln
Tyler, TX 75701-6151
Phone: (936) 676-0392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT82905 (TX)

Record details

NPI number1316824782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

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