Gourley, Lisa Marie

Gourley, Lisa Marie is an individual health care provider with primary practice located at 9961 Sierra Ave , Fontana CA 92335-6720. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gourley, Lisa Marie can be contacted via phone (909) 427-7263.

Contact Information

Primary practice address
9961 Sierra Ave Fontana CA 92335-6720
Phone: (909) 427-7263
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 916500 California

Profile Details

NPI number 1427172741
LBN Legal business name Gourley, Lisa Marie
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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