Individual
LISA F SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
9345 SW 77TH AVE APT 200, MIAMI, FL 33156-6500
(786) 475-9747
Mailing address
9345 SW 77TH AVE APT 200, MIAMI, FL 33156-6500
(787) 667-9157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6907
FL
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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