| Diana Licalzi, RD, CDCES | |
|
1750 Lombardy Dr, Boulder, CO 80304-1542 | |
| (787) 640-3560 | |
| Not Available |
| Full Name | Diana Licalzi |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1750 Lombardy Dr, Boulder, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194205054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Massachusetts) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Licalzi, RD, CDCES 1750 Lombardy Dr, Boulder, CO 80304-1542 Ph: () - | Diana Licalzi, RD, CDCES 1750 Lombardy Dr, Boulder, CO 80304-1542 Ph: (787) 640-3560 |
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