Victoria Rose Lilly
Dietitian, Registered in Hamden, CT. Individual provider (NPI-1).
NPI number1104584259
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1104584259
- Entity type
- Individual (NPI-1)
- Name
- Victoria Rose Lilly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2021
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 002008 | CT | Yes |
Practice location
680 Mix Ave Apt 4cHamden, CT 06514-2341
Phone 765-686-2796
Mailing address
100 N Central Expy Ste 409Richardson, TX 75080-5311
Phone 214-838-8237 · Fax 855-566-0474
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