Individual
LISA ANN LISIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
85 CAMP AVE APT 11K, STAMFORD, CT 06907-1840
(203) 273-3087
Mailing address
85 CAMP AVE APT 11K, STAMFORD, CT 06907-1840
(203) 273-3087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000745
CT
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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