Wasilowski, Lisa

Wasilowski, Lisa is an individual health care provider with primary practice located at 356 Freeport St , New Kensington PA 15068-6071. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wasilowski, Lisa can be contacted via phone (724) 367-2400.

Contact Information

Primary practice address
356 Freeport St New Kensington PA 15068-6071
Fax: (724) 367-2401
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN002196 Pennsylvania

Profile Details

NPI number 1891953584
LBN Legal business name Wasilowski, Lisa
Credentials RD, LDN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Apr 25th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891953584 NPPES
Pennsylvania MEDICAID 103600251

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