Holistic Nutrition by Lisa
NPI #1669899118 in Carlsbad, California
Provider Information
- NPI Number
- 1669899118
- Entity Type
- Organization
- Organization Name
- Holistic Nutrition by Lisa
- Primary Specialty
- Medical Foods Supplier
- Enumeration Date
- Mar 22, 2014
- Last Updated
- Mar 22, 2014
Practice Location
- Address
- 2785 ROOSEVELT ST
- Address 2
- SUITE B
- City
- Carlsbad
- State
- California
- ZIP Code
- 92008-1779
- Phone
- (760) 705-5444
Authorized Official
- Name
- LISA BLAKE, CNC
- Title
- CERTIFIED NUTRITION CONSULTANT
- Phone
- (760) 705-5444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Foods Supplier |
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