Individual
LIZZETTE ENRIQUEZ-LESPRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7166
(928) 674-7705
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86068480
CDR
—
Enumeration date
10/19/2016
Last updated
10/19/2016
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