Individual
LISA BETH STOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, CDE, CDN
Contact information
Practice address
241 E MAIN ST, HUNTINGTON, NY 11743-2924
(631) 757-7406
(631) 757-7406
Mailing address
103 SEA COVE RD, NORTHPORT, NY 11768-1850
(631) 757-7406
(631) 757-7406
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001987-1
NY
Other
Enumeration date
10/24/2006
Last updated
07/09/2007
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