Lisa M Keovongsa, RD, LDN
Dietitian, Registered in Arlington, Massachusetts
1750859286- Practice location
- 30 Standish RD, Arlington, MA 02476-7069
- Phone
- 781-430-9833
- Fax
- —
- Last updated
- October 6, 2023
Lisa Marie Keovongsa is a Dietitian, Registered based in Arlington, MA. Lisa Marie Keovongsa practices in Arlington, MA and has the professional credentials of RD, LDN. The NPI Number for Lisa Marie Keovongsa is 1750859286 and holds a License No. 4706 (MA). The current practice location address for Lisa Marie Keovongsa is 30 Standish RD, Arlington, MA 02476-7069 and can be reached out via phone at 781-430-9833.
Provider Profile Details
- NPI Number
- 1750859286
- Provider Name
- Lisa Marie Keovongsa
- Credential
- RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Standish RD, Arlington, MA 02476-7069
- Phone Number
- 781-430-9833
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 2, 2018
- Last Update Date
- October 6, 2023
- Certification Date
- October 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Standish RD
Arlington, MA 02476-7069 - City
- Arlington
- State
- Massachusetts
- Zip
- 02476-7069
- Phone Number
- 781-430-9833
Provider Business Mailing Address Details
- Address
- 30 Standish RD
Arlington, MA 02476-7069 - City
- Arlington
- State
- MA
- Zip
- 02476-7069
- Phone Number
- 781-430-9833
License Information
- License Number
- 4706
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa M Keovongsa, RD, LDN?
The NPI number of Lisa M Keovongsa, RD, LDN is 1750859286. It was assigned on November 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Lisa M Keovongsa, RD, LDN?
Lisa M Keovongsa, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4706.
Where does Lisa M Keovongsa, RD, LDN practice?
The practice location is 30 Standish RD, Arlington, MA 02476-7069. The office can be reached at 781-430-9833 (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 1750859286 directly on the NPPES registry website.