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Individual

MRS. BETH A LANZISERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
51 ELIZABETH AVE, CRANFORD, NJ 07016-2432
(908) 497-1469
Mailing address
51 ELIZABETH AVE, CRANFORD, NJ 07016-2432
(908) 497-1469

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
943474
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
943474
CDR REGISTRATION NUMBER
NJ
Enumeration date
09/08/2005
Last updated
08/11/2008
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