MRS. Lisa Maria Russo, RD
NPI #1831245687 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1831245687
- Entity Type
- Individual
- Name
- MRS. Lisa Maria Russo, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered - Nutrition, Pediatric
- Credential
- RD
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jan 31, 2014
Practice Location
- Address
- 216 PALMER ST
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07202-5900
- Phone
- (908) 353-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric |
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