Provider Demographics
NPI:1487975736
Name:LILLY, SHARI KHALILI (MS, RD/RDN, CHES)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:KHALILI
Last Name:LILLY
Suffix:
Gender:F
Credentials:MS, RD/RDN, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MONTGOMERY ST STE 750
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4302
Mailing Address - Country:US
Mailing Address - Phone:408-444-5376
Mailing Address - Fax:
Practice Address - Street 1:100 MONTGOMERY ST STE 750
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4302
Practice Address - Country:US
Practice Address - Phone:408-444-5376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered