Individual
LORENA NOVAK BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15681 WINTERS LN, RIVERSIDE, CA 92504-9503
(951) 858-4599
Mailing address
17130 VAN BUREN BLVD # 407, RIVERSIDE, CA 92504-5905
(951) 756-3953
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
810043
CA
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
05/08/2023
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