Provider Demographics
NPI:1326853276
Name:CHEAK, LILLIAN (RDN)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:
Last Name:CHEAK
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 1:2706 FINLEY LOOP
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-9262
Mailing Address - Country:US
Mailing Address - Phone:501-213-6325
Mailing Address - Fax:
Practice Address - Street 1:2706 FINLEY LOOP
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-9262
Practice Address - Country:US
Practice Address - Phone:501-213-6325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered