| Doctor Name: | MS. LISA M MASTROIANNI |
| NPI Number: | 1457596496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. R.D |
| License Number: | 000124 |
| Business Practice Address: | 20 York St Nutrition Clinic Cbb 52 New Haven, CT - 065103220 |
| Business Phone Number: | 2036882422 |
| Business Fax Number: | 2036882141 |
| Mailing Address: | 20 York St, Nutrition Clinic Cbb 52 NEW HAVEN |
| State: | CT |
| Postal Code: | 065103220 |
| Phone Number: | 2036882422 |
| Fax Number: | 2036882141 |
| NPI Enumeration Date: | 12/04/2008 |
| NPI Last Update Date: | 12/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 000124 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |