Lisa Franco, MS,RDN,CSG,LD
Individual provider Active NPI Registered Dietitian · Osprey, FL
NPI 1023415536 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1023415536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- ND8630 (FL)
- Practice address
- 4404 Conchfish LN
Osprey, FL 34229-6848 - Phone
- (203) 505-0168
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000172 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND8630 | FL | Yes |
| Registered Dietitian | 133V00000X | 000172 | CT | |
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Gerontological Nutrition Registered Dietitian | 133VN1101X |
Addresses
Primary practice location
4404 Conchfish LN
Osprey, FL 34229-6848
Mailing address
4404 Conchfish LN
Osprey, FL 34229-6848
Phone (203) 505-0168
Other providers in Osprey, FL
- Family Dermatology, PL
- Family Eye Care & Vision Therapy
- Lindsey Aber Finnegan
- Firstlantic Healthcare Inc of West Florida
- Florida Dental Professionals, P.a.
- Free Your Mind Counseling Services, LLC
- Kristina Lei Graham
- Gretchen White LCSW, LLC
- Jai Grewal
- Alla Gruman
All providers in Osprey, FL · Registered Dietitian in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.