Mastroianni, Lisa M

Mastroianni, Lisa M is an individual health care provider with primary practice located at 20 York St Nutrition Clinic Cbb 52, New Haven CT 06510-3220. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mastroianni, Lisa M can be contacted via phone (203) 688-2422.

Contact Information

Primary practice address
20 York St Nutrition Clinic Cbb 52 New Haven CT 06510-3220
Phone: (203) 688-2422
Fax: (203) 688-2141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000124 Connecticut

Profile Details

NPI number 1457596496
LBN Legal business name Mastroianni, Lisa M
Credentials M.S. R.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2008
Last updated Dec 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457596496 NPPES
Connecticut Other C02658 YNHH MEDICARE NUMBER

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