Lisa De Fazio in Thousand Oaks - Dietitian, Registered
Lisa De Fazio - NPI 1154597623
Lisa De Fazio is a Dietitian, Registered in Thousand Oaks, California. Lisa De Fazio practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Lisa De Fazio is 1154597623. The last update date is 2009-06-26.
Lisa De Fazio's current location address is 415 Rolling Oaks Dr, Thousand Oaks, California. You can contact this provider via phone number 8052990301. The mailing address for Lisa De Fazio is 415 Rolling Oaks Dr, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa De Fazio |
|---|---|
| Address | 415 Rolling Oaks Dr, Thousand Oaks, California |
| Phone Number | 8052990301 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1154597623 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2009-06-26 |
Provider Mailing Address Detail
| Address | 415 Rolling Oaks Dr |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913611029 |
| Phone Number | 8052990301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 859439 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 859439 | CA | DIETETIC REGISTRATION |
Post Comment/ Review Below
What is the Lisa De Fazio's 1154597623?
The Lisa De Fazio's NPI (National Provider Identifier) Number is 1154597623. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lisa De Fazio's facilities are situated?
The facilities of Lisa De Fazio are physically located at the following address: 415 Rolling Oaks Dr, Thousand Oaks, CA, 913611029.
What is Lisa De Fazio's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa De Fazio is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154597623 to Lisa De Fazio?
The Lisa De Fazio received its 1154597623 assignment from the Centers for Medicare & Medicaid Services on 2008-05-05.
When was the information related to Lisa De Fazio most recently updated or refreshed?
The details pertaining to the Lisa De Fazio, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-26.