Individual
LISA WASILOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Contact information
Practice address
356 FREEPORT ST, NEW KENSINGTON, PA 15068-6071
(724) 367-2400
(724) 367-2401
Mailing address
356 FREEPORT ST, NEW KENSINGTON, PA 15068-6071
(724) 367-2400
(724) 367-2401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002196
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103600251
—
PA
Enumeration date
05/29/2008
Last updated
04/25/2019
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