Wellformed AI

NPI 1902255961 · live from the CMS NPI Registry

Lisa Marie Contreras, R.D., L.D.

Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1902255961, active.

NPI record

NPI1902255961 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location1707 W Charleston Blvd Ste 290, Las Vegas, NV 89102
Practice phone702-671-6469
EnumeratedJune 9, 2016
Last updatedSeptember 30, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X39056-DI-0 (NV)
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.