Individual
MS. LISA MARGARET BELLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
91 BOXFORD PL, SAN RAMON, CA 94583-3313
(925) 963-3663
Mailing address
91 BOXFORD PL, SAN RAMON, CA 94583-3313
(925) 963-3663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
609292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA147626
MEDICARE PTAN
CA
Enumeration date
02/20/2008
Last updated
03/10/2016
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