National Provider Identifier
Lisa Modesti, RD
Lisa Modesti, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Fairport, NY and a listed phone number of (585) 729-9364.
Profile Overview
- NPI
- 1407226871
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- September 29, 2015
- Last Updated
- September 29, 2015
Practice Location
- 20 Birling Gap
- Fairport, NY 14450-3916
Phone: (585) 729-9364
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1407226871
- Entity Type
- Individual
- Last Name
- Modesti
- First Name
- Lisa
- Credential
- RD
- Mailing Street Address
- 20 Birling Gap
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3916
- Mailing Country
- US
- Mailing Phone
- (585) 729-9364
- Practice Street Address
- 20 Birling Gap
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3916
- Practice Country
- US
- Practice Phone
- (585) 729-9364
- Enumeration Date
- September 29, 2015
- Last Updated
- September 29, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)