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Individual

MRS. LISA A MEJIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN,LDN,CDCDES,IFNCP

Contact information

Practice address
1720 FRUITLAND DR, DELTONA, FL 32725-4594
(786) 923-6039
Mailing address
1720 FRUITLAND DR, DELTONA, FL 32725-4594
(786) 923-6039

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4698-NU-NU
MA
133V00000X
Registered Dietitian
5461
AL
133V00000X
Registered Dietitian
L007271
NC
133V00000X
Registered Dietitian
Primary
ND6219
FL

Other

Enumeration date
06/09/2015
Last updated
05/17/2024
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