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Individual

LISA KIMBERLY FORGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
12071 ALTA CARMEL CT, SAN DIEGO, CA 92128-3814
(858) 774-2180
Mailing address
PO BOX 500294, SAN DIEGO, CA 92150-0294
(858) 774-2180

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
898324
CA

Other

Enumeration date
02/04/2014
Last updated
02/04/2014
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