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Contact Information

LISA LASORSA, RD LAC
290 BRUCE PARK AVE APT 2
GREENWICH, CT06830-2705
 Phone: 203-536-3923
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LISA LASORSA · (Female)

NPI Number 1134250301
Status Active
Credentials RD LAC
Entity Individual
Enumeration date 03/08/2007
Last updated 03/12/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 0756
  • CT License # 10172
  • NY License # 01685
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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