Lisa Ann Licari R.D.

NPI 1144484098 - Nutritionist - 133NN1002X

NPI Details
NPI 1144484098
Gender Female
Enumeration Date 07/10/2008
Last Updated 07/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
121 MANOR RD
GARDEN CITY NY, 11530-2410, US
Phone (516) 270-2879
Fax
Business Location
121 MANOR RD
GARDEN CITY NY, 11530-2410, US
Phone (516) 270-2879
Fax
Toxanomy
Taxonomy Code 133NN1002X
License State New York
License Number 005632
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According to our database, Mrs. Lisa Ann Licari R.D. NPI is 1144484098, taxonomy code is 133NN1002X and license number is 005632, license state is located at New York. Lisa Ann Licari R.D. physically located at 121 Manor Rd, Garden City NY, 11530-2410. NPI Number Lisa Ann Licari R.D. has the Individual type.

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1144484098 NPI number is provided on an as is basis without warranty of any kind. 1144484098 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Licari R.D. are for informational purposes only.