Individual
LISA FERREIRA GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CWPM
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(617) 629-6444
Mailing address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2886
MA
Other
Enumeration date
01/11/2010
Last updated
08/16/2019
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