Individual
LISA PARADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 334-3411
Mailing address
3718 MAIDU PL, DAVIS, CA 95618-5081
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
960508
CA
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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