Modesti, Lisa

Modesti, Lisa is an individual health care provider with primary practice located at 20 Birling Gap , Fairport NY 14450-3916. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Modesti, Lisa can be contacted via phone (585) 729-9364.

Contact Information

Primary practice address
20 Birling Gap Fairport NY 14450-3916
Phone: (585) 729-9364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 718852 New York

Profile Details

NPI number 1407226871
LBN Legal business name Modesti, Lisa
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2015
Last updated Sep 29th, 2015 - about 10 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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