Individual
LISA COONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 666-3574
Mailing address
32 SHIPYARD LN UNIT A, MILFORD, CT 06460-4868
(626) 437-9093
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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