Individual
LESLEY NICOLE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, IFNCP
Contact information
Practice address
109 E RIDGEWOOD CT # 109, SAN ANTONIO, TX 78212-2341
(210) 722-6929
Mailing address
109 E RIDGEWOOD CT # 109, SAN ANTONIO, TX 78212-2341
(210) 722-6929
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85977
TX
Other
Enumeration date
10/24/2023
Last updated
12/25/2023
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