Faucon, Lisa Nicole

Faucon, Lisa Nicole is an individual health care provider with primary practice located at 505 Parnassus Ave M-294, San Francisco CA 94143-2204. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Faucon, Lisa Nicole can be contacted via phone (415) 353-8254.

Contact Information

Primary practice address
505 Parnassus Ave M-294 San Francisco CA 94143-2204
Phone: (415) 353-8254
Fax: (415) 353-8703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 954974 California

Profile Details

NPI number 1740456243
LBN Legal business name Faucon, Lisa Nicole
Credentials MS RD CNSC
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Jan 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740456243 NPPES
California Other 954974 CDR

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