Individual
MRS. LISA DELANEY CAMHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD MS LD/N
Contact information
Practice address
2201 NW CORPORATE BLVD, SUITE 108, BOCA RATON, FL 33431-7337
(786) 543-1044
(561) 807-6807
Mailing address
6678 NW 42ND WAY, BOCA RATON, FL 33496-4041
(786) 543-1044
(561) 807-6807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E7121A
MEDICARE PART B ID
FL
Enumeration date
01/30/2007
Last updated
08/06/2014
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