Lisa Lanzano, M.S., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

838488 Issued in CO

Practice address

4410 Arapahoe Ave Ste 110
Boulder, CO 80303-1135

Phone

(720) 414-5102

Fax

(720) 306-4644

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essential Nutrition LLC

  • Clinic/Center
  • Boulder, CO
  • NPI 1104043553

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1750488540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18990",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803081990",
            "telephone_number": "720-414-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 ARAPAHOE AVE STE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031135",
            "telephone_number": "720-414-5102",
            "fax_number": "720-306-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZANO",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "00838488",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "838488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leandi Langenegger, MA, NCC, LPCC
• Chelsey A Langlinais, LPC
• Mary Louise Langlois, MD
• Michael J Lantz, DPT
• Joy Lanzano, MA
• Amanda Lauren Lapointe, PA-C
• Kelsey Lapping
• Airin Lara
• Eleanor Lucy Larbalestier, MA
• Kayla Lard

• Registered Dietitian in Boulder, CO
• Providers in Boulder, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.