Keovongsa, Lisa Marie
Keovongsa, Lisa Marie is an sole proprietor health care provider with primary practice located at 30 Standish Rd , Arlington MA 02476-7069. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Keovongsa, Lisa Marie can be contacted via phone (781) 430-9833.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 4706 | Massachusetts |
Profile Details
| NPI number | 1750859286 |
|---|---|
| LBN Legal business name | Keovongsa, Lisa Marie |
| Credentials | RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2018 |
| Last updated | Oct 6th, 2023 - about 2 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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