IndividualActive
Lissette Cornejo, MS, RD, CSSD
NPI 1184431652 · Sports Dietetics Nutrition Registered Dietitian · Saint Louis, MO
Provider details
- NPI number
- 1184431652
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSSD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
8400 Delmar Blvd Apt 523
Saint Louis, MO 63124-2344
Phone: (407) 716-3006
Approximate (ZIP-level) locationGet directions
Mailing address
8400 Delmar Blvd Apt 523
Saint Louis, MO 63124-2344
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.