Provider Demographics
NPI:1811709819
Name:IRELAND, ERIKA LEZANN (RDN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LEZANN
Last Name:IRELAND
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 DEAUVILLE CIR
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-4231
Mailing Address - Country:US
Mailing Address - Phone:559-994-3510
Mailing Address - Fax:
Practice Address - Street 1:2430 DEAUVILLE CIR
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-4231
Practice Address - Country:US
Practice Address - Phone:559-994-3510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL888102133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered