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LISA MARY BISHOP M.S., R.D., C.D.E.
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1205012713
Individual Registrant: LISA MARY BISHOP M.S., R.D., C.D.E.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
112 QUARRY RD SUITE 250 TRUMBULL, CT 06611-4816 US
Tel: 203-371-7048 Fax: 203-371-7066
Tel: 203-371-7048 Fax: 203-371-7066
Contact information for business:
112 QUARRY RD SUITE 250 TRUMBULL, CT 06611-4816 US
Tel: 203-371-7048 Fax: 203-371-7066
Tel: 203-371-7048 Fax: 203-371-7066
Registration Information:
NPI: 1205012713
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | CT | 000725 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
