Provider Demographics
NPI:1194403998
Name:TALAMINI, LISA (RDN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:TALAMINI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7928 PASEO MEMBRILLO
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6972
Mailing Address - Country:US
Mailing Address - Phone:760-450-8413
Mailing Address - Fax:
Practice Address - Street 1:7928 PASEO MEMBRILLO
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-6972
Practice Address - Country:US
Practice Address - Phone:760-450-8413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA620260133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered