Mary P Lillico in Amarillo - Dietitian, Registered

Mary P Lillico - NPI 1396865929

Mary P Lillico is a Dietitian, Registered in Amarillo, Texas. Mary P Lillico practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary P Lillico is 1396865929. The last update date is 2007-07-09.

Mary P Lillico's current location address is 5413 River Rd, Amarillo, Texas. You can contact this provider via phone number 8063814322 and fax number 8063814322. The mailing address for Mary P Lillico is 5413 River Rd, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary P Lillico
Address 5413 River Rd, Amarillo, Texas
Phone Number 8063814322
Fax Number 8063814322
Sole Proprietor N
Credentials R.D. L.D.

NPI Number Detail

NPI Number 1396865929
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 5413 River Rd
City Amarillo
State Texas (TX)
Post Code 791084607
Phone Number 8063814322
Fax Number 8063814322

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No DT02437
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8K8622 TX LINK TO 00BF18

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FAQs about Mary P Lillico

What is the unique 10-digit identifier code assigned to Mary P Lillico by the Centers for Medicare & Medicaid Services?

The Mary P Lillico has been issued the NPI (National Provider Identifier) 1396865929 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Mary P Lillico located?

The Mary P Lillico is located at 5413 River Rd, Amarillo, TX 791084607.

What is the Mary P Lillico's area of specialization and corresponding taxonomy classification?

The Mary P Lillico's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.

When was the Mary P Lillico's 1396865929 issued?

The Mary P Lillico's 1396865929 was issued on 2007-03-29.

As of what date were the details pertaining to Mary P Lillico last refreshed?

The information related to the Mary P Lillico, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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