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NPI Code Detail

MEDICARE: LISHA ZHOU RD

MEDICARE:   LISHA  ZHOU  RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86392611CA

General Provider Information

NPI Number : 1659197754
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISHA ZHOU RD
Provider Business Mailing Address
First Line : 830 EDDY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7753
Country : US
Telephone Number : 347-429-1372
Fax Number :
Provider Business Practice Location Address
First Line : 830 EDDY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7753
Country : US
Telephone Number : 347-429-1372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2024
Last Update Date : 11/23/2024

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Directions to “ LISHA ZHOU RD” Practice Location

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