Individual
LISA MARIE CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD, CD-N
Contact information
Practice address
142 WILSON RD, EASTON, CT 06612-1621
(203) 395-3232
Mailing address
142 WILSON RD, EASTON, CT 06612-1621
(203) 395-3232
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001034
CT
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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