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Individual

ALLYSON LODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
43115 15TH STREET WEST, LANCASTER, CA 93534
(661) 674-7559
Mailing address
2649 W AVENUE J14, LANCASTER, CA 93536-5890
(661) 674-7559

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86096563

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86096563
COMMISION ON DIETETIC REGISTRATION
Enumeration date
07/22/2019
Last updated
07/22/2019
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