Individual
LISA M STATNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5500 NEWCASTLE AVE, APT 55, ENCINO, CA 91316-2133
(805) 377-3288
Mailing address
5500 NEWCASTLE AVE, APT 55, ENCINO, CA 91316-2133
(818) 706-1114
(818) 706-1177
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
10/08/2020
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