Individual
MRS. LISA MARIE TESTOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., LDN
Contact information
Practice address
132 W LAKE ST, BLOOMINGDALE, IL 60108-1020
(630) 550-0429
Mailing address
327 ERIE CIR, BLOOMINGDALE, IL 60108-8813
(630) 550-0429
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
164.000412
IL
133V00000X
Registered Dietitian
Primary
720034
IL
Other
Enumeration date
02/18/2016
Last updated
11/19/2023
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