Individual
LISA MARIE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
869400
CA
133VN1004X
Pediatric Nutrition Registered Dietitian
—
CA
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
869400
CDR
—
Enumeration date
01/25/2021
Last updated
07/06/2021
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