Individual
LILLIAN ROSEMYRA CHICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1380 CABOT COVE, JOHNSON CITY, TN 37615-5014
(423) 767-9991
Mailing address
1380 CABOT COVE, JOHNSON CITY, TN 37615
(423) 767-9991
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86330033
TN
Other
Enumeration date
05/05/2025
Last updated
05/21/2025
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