Lillian Sierra, RD
Individual provider Active NPI Registered Dietitian · La Mesa, NM
NPI 1588487136 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1588487136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT85848 (TX)
- Practice address
- 6505 Rio Dorado Dr
La Mesa, NM 88044-9655 - Phone
- (915) 204-3335
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT85848 | TX | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT85848 | TX | Yes |
Addresses
Primary practice location
6505 Rio Dorado Dr
La Mesa, NM 88044-9655
Mailing address
6505 Rio Dorado Dr
La Mesa, NM 88044-9655
Phone (915) 204-3335
Other providers in La Mesa, NM
All providers in La Mesa, NM · Registered Dietitian in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.