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Organization

FULL PERMISSION NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA LOMBARDINI MS, RD, LDN (OWNER/REGISTERED DIETITIAN)
(508) 784-6548
Entity
Organization

Contact information

Practice address
482 SOUTHBRIDGE ST # 333, AUBURN, MA 01501-2468
(508) 784-6548
(508) 365-6451
Mailing address
482 SOUTHBRIDGE ST # 333, AUBURN, MA 01501-2468
(508) 784-6548
(508) 365-6451

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/01/2019
Last updated
06/24/2020
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