MS. Lisa Brooke Samuels, R.D.

NPI #1093172090 in Hewlett, New York

Provider Information

NPI Number
1093172090
Entity Type
Individual
Name
MS. Lisa Brooke Samuels, R.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
R.D.
Enumeration Date
Jan 21, 2016
Last Updated
Jan 21, 2016

Practice Location

Address
67 PROSPECT AVE
Address 2
#12-C
ZIP Code
11557-1640
Phone
(516) 993-3267

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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