Individual
LISA MANCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
333 LONGWOOD AVE, BOSTON, MA 02115-5711
(617) 355-4677
Mailing address
333 LONGWOOD AVE, BOSTON, MA 02115-5711
(617) 355-4677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3404
MA
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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