IndividualActive
Lisa Sullivan, MS, CDN
NPI 1619674199 · Nutritionist · Fairfield, CT
Provider details
- NPI number
- 1619674199
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- MS, CDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2330 (CT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1330 Post Rd Ste 2
Fairfield, CT 06824-6039
Phone: (617) 851-7701
Approximate (ZIP-level) locationGet directions
Mailing address
1330 Post Rd Ste 2
Fairfield, CT 06824-6039
Registry dates
- Enumerated
- 2023-02-14
- Last updated
- 2023-02-14
- Certified
- 2023-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.