Individual
MS. LISA LASORSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LAC
Contact information
Practice address
290 BRUCE PARK AVE APT 2, GREENWICH, CT 06830-2705
(203) 536-3923
Mailing address
290 BRUCE PARK AVE APT 2, GREENWICH, CT 06830-2705
(203) 536-3923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0756
CT
171100000X
Acupuncturist
01685
NY
171100000X
Acupuncturist
Primary
10172
CT
Other
Enumeration date
03/08/2007
Last updated
03/12/2016
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