Individual
MS. LISA D MELCHIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4618
(818) 904-3694
Mailing address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4618
(818) 904-3694
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
586896
CA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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