Individual
MS. LISA MARIE DELLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5568
(774) 826-1439
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5568
(774) 826-1439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
997564
NY
Other
Enumeration date
04/24/2013
Last updated
12/11/2019
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