Individual
LISA UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
870 N ORANGE ST, RIVERSIDE, CA 92501-1314
(858) 366-3038
Mailing address
870 N ORANGE ST, RIVERSIDE, CA 92501-1314
(858) 366-3038
(949) 271-4976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
11/13/2020
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