IndividualActive
Lisa Russo, RD
NPI 1831245687 · Pediatric Nutrition Registered Dietitian · Elizabeth, NJ
Provider details
- NPI number
- 1831245687
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 952153 (NJ)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
216 Palmer St
Elizabeth, NJ 07202-5900
Phone: (908) 353-0500
Approximate (ZIP-level) locationGet directions
Mailing address
10 Church Towers
Hoboken, NJ 07030
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2014-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.