Individual
LISA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
269 S. CANDY LANE, COTTONWOOD, AZ 86326-7022
(928) 639-6543
(928) 639-6340
Mailing address
1200 N. BEAVER, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86008834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234291
—
AZ
Enumeration date
07/31/2016
Last updated
03/16/2017
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