| Doctor Name: | MS. LISA M HARTLEY |
| NPI Number: | 1497731707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN BSN CDE |
| License Number: | 308969 |
| Business Practice Address: | 681 Main St Ste 100 Placerville, CA - 956675736 |
| Business Phone Number: | 5306262990 |
| Business Fax Number: | 5306262992 |
| Mailing Address: | 1100 Marshall Way, PLACERVILLE |
| State: | CA |
| Postal Code: | 956676533 |
| Phone Number: | 5306262990 |
| Fax Number: | 5306262992 |
| NPI Enumeration Date: | 12/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 308969 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |