MEDICARE: LILLIAN REIMER MS, 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
1	133VN1501X	Sports Dietetics Nutrition Registered Dietitian	DT92257	TX

General Provider Information

NPI Number	:	1407711336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN REIMER MS, RD

Provider Business Mailing Address
First Line	:	804 CHARLOTTE DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6082
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 CHARLOTTE DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6082
Country	:	US
Telephone Number	:	505-550-3507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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