Lisa Marie Keovongsa, RD, LDN
NPI #1750859286 in Arlington, Massachusetts
Provider Information
- NPI Number
- 1750859286
- Entity Type
- Individual
- Name
- Lisa Marie Keovongsa, RD, LDN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, LDN
- Enumeration Date
- Nov 2, 2018
- Last Updated
- Oct 6, 2023
Practice Location
- Address
- 30 STANDISH RD
- City
- Arlington
- State
- Massachusetts
- ZIP Code
- 02476-7069
- Phone
- (781) 430-9833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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