Ms. Lan C Disciullo, RD
Dietitian, Registered in Dorchester, Massachusetts
1770651580- Practice location
- 398 Neponset Ave, Dorchester, MA 02122-3134
- Phone
- 617-282-3200
- Fax
- 617-282-7928
- Last updated
- November 10, 2009
Lan C Disciullo is a Dietitian, Registered based in Dorchester, MA. Lan C Disciullo practices in Dorchester, MA and has the professional credentials of RD. The NPI Number for Lan C Disciullo is 1770651580 and holds a License No. 2505 (MA). The current practice location address for Lan C Disciullo is 398 Neponset Ave, Dorchester, MA 02122-3134 and can be reached out via phone at 617-282-3200 and via fax at 617-282-7928.
Provider Profile Details
- NPI Number
- 1770651580
- Provider Name
- Lan C Disciullo
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 398 Neponset Ave, Dorchester, MA 02122-3134
- Phone Number
- 617-282-3200
- Fax Number
- 617-282-7928
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2006
- Last Update Date
- November 10, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 398 Neponset Ave
Dorchester, MA 02122-3134 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02122-3134
- Phone Number
- 617-282-3200
- Fax Number
- 617-282-7928
Provider Business Mailing Address Details
- Address
- 398 Neponset Ave
Dorchester, MA 02122-3134 - City
- Dorchester
- State
- MA
- Zip
- 02122-3134
- Phone Number
- 617-282-3200
- Fax Number
- 617-282-7928
License Information
- License Number
- 2505
- 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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- Anne M Mcdonald, MS, RD LDNDietitian, Registered · NPI 1528209996
- Ashley Simons, RDDietitian, Registered · NPI 1437946472
- Brianna KobylarDietitian, Registered · NPI 1932982923
- Brittany Lewis, RDDietitian, Registered · NPI 1205034642
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Frequently Asked Questions
What is the NPI number of Ms. Lan C Disciullo, RD?
The NPI number of Ms. Lan C Disciullo, RD is 1770651580. It was assigned on December 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Lan C Disciullo, RD?
Ms. Lan C Disciullo, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2505.
Where does Ms. Lan C Disciullo, RD practice?
The practice location is 398 Neponset Ave, Dorchester, MA 02122-3134. The office can be reached at 617-282-3200 (phone) or 617-282-7928 (fax).
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 1770651580 directly on the NPPES registry website.