Individual
LISA SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N
Contact information
Practice address
125 LASALLE RD, SUITE 208, WEST HARTFORD, CT 06107-2322
(860) 906-1289
Mailing address
58 DRUMLIN RD, WEST SIMSBURY, CT 06092-2907
(860) 651-3900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
839998
CT
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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