Doctor Name: | MRS. DIANE CHRISTINE LUCERO |
NPI Number: | 1518906098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 809927 |
Business Practice Address: | 11301 Wilshire Blvd Los Angeles, CA - 900731003 |
Business Phone Number: | 3104783711 |
Business Fax Number: | |
Mailing Address: | 14036 Wagon Mound Rd, SYLMAR |
State: | CA |
Postal Code: | 913421075 |
Phone Number: | 8183676734 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 809927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |