Disciullo, Lan C

Disciullo, Lan C is an individual health care provider with primary practice located at 398 Neponset Ave , Dorchester MA 02122-3134. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Disciullo, Lan C can be contacted via phone (617) 282-3200.

Contact Information

Primary practice address
398 Neponset Ave Dorchester MA 02122-3134
Phone: (617) 282-3200
Fax: (617) 282-7928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2505 Massachusetts

Profile Details

NPI number 1770651580
LBN Legal business name Disciullo, Lan C
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Nov 10th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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