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Individual

GEORGINA LILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., I.B.C.L.C

Contact information

Practice address
5821 NE RUBY CT, LEES SUMMIT, MO 64064-1147
(816) 812-5396
Mailing address
5821 NE RUBY CT, LEES SUMMIT, MO 64064-1147

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1893
KS
133V00000X
Registered Dietitian
2010039072
MO
174N00000X
Lactation Consultant (Non-RN)
Primary
11113168

Other

Enumeration date
03/26/2016
Last updated
02/02/2026
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