Individual
LISA LYNN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, CDE
Contact information
Practice address
105 W 8TH AVE STE 7010, SPOKANE, WA 99204-2312
(509) 474-6525
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001131
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122724
—
WA
Enumeration date
10/11/2006
Last updated
11/26/2025
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