Quintanilla, Lizlette
Quintanilla, Lizlette is an individual health care provider with primary practice located at 2821 Michaelangelo Dr Ste 102B , Edinburg TX 78539-1411. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Quintanilla, Lizlette can be contacted via phone (956) 362-5650.Contact Information
Primary practice address
2821 Michaelangelo Dr Ste 102B
Edinburg TX 78539-1411
Phone: (956) 362-5650
Fax: (956) 362-2599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86049766 | Texas |
Profile Details
NPI number | 1548648488 |
---|---|
LBN Legal business name | Quintanilla, Lizlette |
Credentials | REGISTERED DIETITIAN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2015 |
Last updated | Nov 13th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548648488 | NPPES |
Texas | MEDICAID | 352435701 |
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