Individual
MS. LISA M HARTLEY
Active
Individual
MS. LISA M HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
308969
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
20210187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20210187
CDE
CA
01
—
308969
RN
CA
Enumeration date
12/19/2005
Last updated
07/13/2026
Update your record
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