LORRAINE LACCETTI MONGIELLO

PORT JEFFERSON, NY
NPI1376679167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2007-02-26
Last Update Date2008-09-05
Business Address
-- LORRAINE LACCETTI MONGIELLO RD, CDE, BC-ADM
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777-1928
Phone number: 631-474-6430
Mailing Address
-- LORRAINE LACCETTI MONGIELLO RD, CDE, BC-ADM
107 SOUTHERN BLVD
NESCONSET, NY 11767-1731
Phone number: 631-724-1929