Lan C Disciullo RD

NPI 1770651580 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1770651580
Gender Female
Enumeration Date 12/01/2006
Last Updated 11/10/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
398 NEPONSET AVE
DORCHESTER MA, 02122-3134, US
Phone (617) 282-3200
Fax (617) 282-7928
Business Location
398 NEPONSET AVE
DORCHESTER MA, 02122-3134, US
Phone (617) 282-3200
Fax (617) 282-7928
Toxanomy
Taxonomy Code 133V00000X
License State Massachusetts
License Number 2505
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According to our database, Ms. Lan C Disciullo RD NPI is 1770651580, taxonomy code is 133V00000X and license number is 2505, license state is located at Massachusetts. Lan C Disciullo RD physically located at 398 Neponset Ave, Dorchester MA, 02122-3134. NPI Number Lan C Disciullo RD has the Individual type.

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1770651580 NPI number is provided on an as is basis without warranty of any kind. 1770651580 is maintained by the National Plan & Provider Enumeration System. The contents of Lan C Disciullo RD are for informational purposes only.