Individual
MRS. LILIANE LILY BALBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 981-7715
(540) 981-7945
Mailing address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 816-0082
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
VA
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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