Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISSETTE CORNEJO, MS, RD, CSSD
Active Sole ProprietorSports Dietetics · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1184431652
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2024 (1.3455706001287 yrs)
- Last Updated
- Dec 17, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
8400 DELMAR BLVD APT 523SAINT LOUIS, MO, 631242344Browse MO providers · Browse ZIP 63124
- Phone
- 4077163006
- Primary Specialty
-
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.