Individual
MS. LISA GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20500 TOWN CENTER LN UNIT 162, CUPERTINO, CA 95014-3216
(650) 391-6218
Mailing address
20500 TOWN CENTER LN UNIT 16220500, CUPERTINO, CA 95014-3265
(650) 391-6218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
998727
CA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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