Organization
LIFESTYLE MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PAULIEN MS, RD (BUSINESS DEVELOPMENT SUPPORT)
(909) 283-6005
Entity
Organization
Contact information
Practice address
25805 BARTON RD, BLDG. A, UNIT 106, LOMA LINDA, CA 92354-3814
(909) 796-7676
(909) 586-9342
Mailing address
25805 BARTON RD, BLDG. A, UNIT 106, LOMA LINDA, CA 92354-3814
(909) 796-7676
(909) 586-9342
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01107466
CA
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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