Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLEEN LISCANO, MS, RD, CNSD. CLE
Active Sole ProprietorCOLEEN LISCANO, MS, RD, CNSD. CLE is a Pediatric Nutrition healthcare provider located in COVINA, California. NPI 1972831139 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nutrition · COVINA, CA
Registration Details
- NPI Number
- 1972831139
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2009 (16.739239490572 yrs)
- Last Updated
- Nov 30, 2009
- License
-
877908 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2159 E BADILLO STCOVINA, CA, 917242340Browse CA providers · Browse ZIP 91724
- Phone
- 7149317157
- 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.