Provider Demographics
NPI:1346809993
Name:SHENETTE, LISA LOMBARDINI (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:LOMBARDINI
Last Name:SHENETTE
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01524-1140
Mailing Address - Country:US
Mailing Address - Phone:413-454-2211
Mailing Address - Fax:
Practice Address - Street 1:30 HYLAND AVE
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:MA
Practice Address - Zip Code:01524-1140
Practice Address - Country:US
Practice Address - Phone:413-454-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4670133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered