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Individual

MRS. LISA MICHELE AMEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
(858) 966-7732
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
(858) 966-7732

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20420355
CDE
CA
01
895777
ADA REGISTRATION NUMBER
CA
Enumeration date
05/22/2007
Last updated
05/19/2015
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