Individual
MS. LISA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
115 W SILVER ST, WESTFIELD, MA 01085-3628
(413) 568-2811
(413) 572-5005
Mailing address
33 WOODCLIFF DR, GRANBY, CT 06035-2122
(860) 653-9340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2628
MA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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