# LISA TRITTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326137159
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 01057237 | IN | — |
| 208000000X | Pediatrics Physician | 036.148965 | IL | — |
| 208000000X | Pediatrics Physician | 2024041787 | MO | — |
| 2080B0002X | Pediatric Obesity Medicine Physician | 2024041787 | MO | Yes |
| 2080B0002X | Pediatric Obesity Medicine Physician | 74526 | MN | — |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 11/16/2024