Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA A APA, R.D.
Active Sole ProprietorPediatric Nutrition · WAYNE, NJ
Registration Details
- NPI Number
- 1205278033
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2013 (12.750586755349 yrs)
- Last Updated
- Jul 22, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
42 MARLTON DRWAYNE, NJ, 074705331Browse NJ providers · Browse ZIP 07470
- Phone
- 9736967526
- Fax
- 9736335401
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Renal Nutrition
- Additional Specialty
- Metabolic Nutrition
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.