Licalzi, Diana

Licalzi, Diana is an sole proprietor health care provider with primary practice located at 1750 Lombardy Dr , Boulder CO 80304-1542. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Licalzi, Diana can be contacted via phone (787) 640-3560.

Contact Information

Primary practice address
1750 Lombardy Dr Boulder CO 80304-1542
Phone: (787) 640-3560
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1194205054
LBN Legal business name Licalzi, Diana
Credentials RD, CDCES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2018
Last updated Jun 11th, 2021 - about 5 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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