Most Relevant Information
Provider Data
| NPI Number: | 1003538323 |
| Provider Name: | LILY VALENTINE REISINGER RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86290554 |
Most Important Dates
| Enumeration Date: | 09/13/2022 |
| Last Updated: | 09/13/2022 |
Provider Practice Location
21515 HAWTHORNE BLVD STE 370
TORRANCE
CA
905036556
Practice Location Phone/Fax
| Phone: | 4243415407 |
| Fax: |
Provider Mailing Location
1139 HARVARD ST APT D
SANTA MONICA
CA
904034788
Provider Mailing Phone/Fax
| Phone: | 3145788668 |
| Fax: |