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NPI Code Detail

MEDICARE: LISA BALESTRINO MS, RD, LDN, CSSD

MEDICARE: LISA BALESTRINO MS, RD, LDN, CSSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianL005075NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427558444
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA BALESTRINO MS, RD, LDN, CSSD
Provider Business Mailing Address
First Line : 5750 BAUM BLVD # 306
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-3793
Country : US
Telephone Number : 412-593-2048
Fax Number :
Provider Business Practice Location Address
First Line : 5750 BAUM BLVD # 306
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-3793
Country : US
Telephone Number : 412-593-2048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2018
Last Update Date : 12/11/2023

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