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Individual

LISA LANE FROMELIUS WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
16755 AMBERWOOD CT, RIVERSIDE, CA 92504-6256
(866) 603-6066
(866) 603-6066
Mailing address
16755 AMBERWOOD CT, RIVERSIDE, CA 92504-6256
(866) 603-6066
(866) 603-6066

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808509

Other

Enumeration date
01/07/2011
Last updated
01/07/2011
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