Individual
MISS LILY LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MS
Contact information
Practice address
4640 ADMIRALTY WAY # 901, MARINA DEL REY, CA 90292-6621
(310) 577-5540
(310) 577-5616
Mailing address
301 S ST ANDREWS PL APT 217, LOS ANGELES, CA 90020-4360
(909) 569-7312
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86112541
CA
Other
Enumeration date
04/17/2020
Last updated
09/25/2024
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