Essential Nutrition LLC

NPI #1104043553 in Boulder, Colorado

Provider Information

NPI Number: 1104043553
Entity Type: Organization
Organization Name: Essential Nutrition LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ESSENTIAL NUTRITION LLC
Primary Specialty: Clinic/Center
Enumeration Date: Apr 19, 2007
Last Updated: Oct 10, 2025

Practice Location

Address: 4410 ARAPAHOE AVE
Address 2: SUITE 110
City: Boulder
State: Colorado
ZIP Code: 80303-1135
Phone: (720) 315-0051

Authorized Official

Name: MS. LISA MARIE LANZANO, MS, RDN
Title: MANAGING MEMBER
Phone: (720) 284-1581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Clinic/Center	261Q00000X	Primary

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