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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1548648488 NPPES
Texas MEDICAID 352435701

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