Individual
MRS. LISA HOPE COOPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
8 WILCOX ST, SIMSBURY, CT 06070
(860) 830-7855
Mailing address
8 HAMPDEN CIR, SIMSBURY, CT 06070-1265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000706
CT
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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