Individual
LISA VAN LEEUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
11 NORTH ST, STONEHAM, MA 02180-1040
(760) 625-9708
Mailing address
11 NORTH ST, STONEHAM, MA 02180-1040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
06/14/2024
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