Individual
MS. LAUREN AILEEN FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-5864
Mailing address
330 BROOKLINE AVENUE, BOSTON, MA 02215
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
968175
MA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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