Individual
LORA A PAELICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4011 SUNSET DR, UNIT HALF, LOS ANGELES, CA 90027-1525
(323) 783-4011
Mailing address
4011 SUNSET DRIVE, UNIT HALF, LOS ANGELES, CA 90027-6021
(323) 236-9336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
961138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
961138
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
07/02/2008
Last updated
10/27/2014
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