Individual provider · Type 1 NPI
Lisa Maria Russo, RD
Pediatric Nutrition Registered Dietitian · Elizabeth, NJ
Practice location
216 Palmer St
Elizabeth, NJ 07202-5900
Mailing address
10 Church Towers, Apt 2N
Hoboken, NJ 07030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | 952153 (NJ) |
Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…
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About NPI 1831245687
Lisa Maria Russo, RD's National Provider Identifier is 1831245687, issued on Jan 26, 2007. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Elizabeth, NJ. The record was last updated on Jan 31, 2014.