Jacquelyn Lising, MS, RDN is a
Dietitian, Registered based in Walnut, California. Jacquelyn Lising is licensed to practice in * (Not Available) (license number ) and her current practice location is
911 Summitview Ct, Walnut, California. She can be reached at her office (for appointments etc.) via phone at
(909) 896-9103.
NPI number for Jacquelyn Lising is 1649799206 and her current mailing address is 911 Summitview Ct, Walnut, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649799206.
Healthcare Provider's Profile
| Full Name | Jacquelyn Lising |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 911 Summitview Ct, Walnut, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649799206
- Provider Enumeration Date: 09/14/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Jacquelyn Lising such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649799206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Lising is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacquelyn Lising, MS, RDN
911 Summitview Ct,
Walnut, CA 91789-4437
Ph: (909) 896-9103 | Jacquelyn Lising, MS, RDN
911 Summitview Ct,
Walnut, CA 91789
Ph: (909) 896-9103 |
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