Lorraine Laccetti Mongiello, RD, CDE, BC-ADM

NPI #1376679167 in Port Jefferson, New York

Provider Information

NPI Number
1376679167
Entity Type
Individual
Name
Lorraine Laccetti Mongiello, RD, CDE, BC-ADM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, CDE, BC-ADM
Enumeration Date
Feb 26, 2007
Last Updated
Sep 5, 2008

Practice Location

Address
200 BELLE TERRE RD
ZIP Code
11777-1928
Phone
(631) 474-6430

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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