Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA MARIA RUSSO, RD
Active Sole ProprietorPediatric Nutrition · ELIZABETH, NJ
Registration Details
- NPI Number
- 1831245687
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.235725507391 yrs)
- Last Updated
- Jan 31, 2014
- License
-
952153 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
216 PALMER STELIZABETH, NJ, 072025900Browse NJ providers · Browse ZIP 07202
- Phone
- 9083530500
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.