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

Primary practice address
30 Standish Rd Arlington MA 02476-7069
Phone: (781) 430-9833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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