Individual
MS. LAN C DISCIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
(617) 282-7928
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
(617) 282-7928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2505
MA
Other
Enumeration date
12/01/2006
Last updated
11/10/2009
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