Individual
MS. LISA M DIRIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
55 LAKE AVE N, DEPT OF NUTRITION AND FOOD SERVICE, WORCESTER, MA 01655-0002
(508) 334-4593
Mailing address
64 S LENOX ST, APT 1, WORCESTER, MA 01602-2522
(508) 951-7635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
963281
MA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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