LORI ANN DECOSTA

BOSTON, MA
NPI1316234784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MA  2415)
Enumeration Date2011-07-06
Last Update Date2011-07-06
Business Address
-- LORI ANN DECOSTA RD CNSC
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-2588
Mailing Address
-- LORI ANN DECOSTA RD CNSC
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-2588