Mrs. Lisa Sullivan, MS, CDN
Nutritionist in Fairfield, Connecticut
1619674199- Practice location
- 1330 Post RD Ste 2, Fairfield, CT 06824-6039
- Phone
- 617-851-7701
- Fax
- —
- Last updated
- February 14, 2023
Lisa Sullivan is a Nutritionist based in Fairfield, CT. Lisa Sullivan practices in Fairfield, CT and has the professional credentials of MS, CDN. The NPI Number for Lisa Sullivan is 1619674199 and holds a License No. 2330 (CT). The current practice location address for Lisa Sullivan is 1330 Post RD Ste 2, Fairfield, CT 06824-6039 and can be reached out via phone at 617-851-7701.
Provider Profile Details
- NPI Number
- 1619674199
- Provider Name
- Lisa Sullivan
- Credential
- MS, CDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1330 Post RD Ste 2, Fairfield, CT 06824-6039
- Phone Number
- 617-851-7701
- Primary Taxonomy
- Nutritionist · 133N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 14, 2023
- Last Update Date
- February 14, 2023
- Certification Date
- February 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1330 Post RD Ste 2
Fairfield, CT 06824-6039 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-6039
- Phone Number
- 617-851-7701
Provider Business Mailing Address Details
- Address
- 1330 Post RD Ste 2
Fairfield, CT 06824-6039 - City
- Fairfield
- State
- CT
- Zip
- 06824-6039
- Phone Number
- 617-851-7701
License Information
- License Number
- 2330
- License State
- CT
- Taxonomy
- Nutritionist · 133N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nutritionists near Fairfield, CT
View all Nutritionists in Fairfield →Frequently Asked Questions
What is the NPI number of Mrs. Lisa Sullivan, MS, CDN?
The NPI number of Mrs. Lisa Sullivan, MS, CDN is 1619674199. It was assigned on February 14, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lisa Sullivan, MS, CDN?
Mrs. Lisa Sullivan, MS, CDN is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in CT under license number 2330.
Where does Mrs. Lisa Sullivan, MS, CDN practice?
The practice location is 1330 Post RD Ste 2, Fairfield, CT 06824-6039. The office can be reached at 617-851-7701 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619674199 directly on the NPPES registry website.