Mary Collard, RD, CDCES
Dietitian, Registered, Nutrition, Metabolic in Oceanside, CA. Individual provider (NPI-1).
NPI number1366046526
StatusActive
Last updated in NPPESNov 27, 2020
Details
- NPI
- 1366046526
- Entity type
- Individual (NPI-1)
- Name
- Mary Collard
- Credential
- RD, CDCES
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2020
- Certification date
- Nov 27, 2020
- Last updated
- Nov 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | – | – | Yes |
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | – | – |
Other names
- Mary Regina Lyons (Former Name)
Practice location
2321 Bliss CirOceanside, CA 92056-3596
Phone 760-429-5719
Mailing address
2321 Bliss CirOceanside, CA 92056-3596
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.