Individual
LILLY VANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7484 BAD TOLEZ RD, FORT CARSON, CO 80913
(719) 524-0733
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-1936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT84149
TX
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
DT84149
TX
Other
Enumeration date
09/29/2014
Last updated
03/07/2024
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