Individual
MRS. LYNNE J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
532 SUMNER AVE, SPRINGFIELD, MA 01108-2458
(413) 739-1100
(413) 737-1643
Mailing address
1145 MAIN ST, SUITE 301, SPRINGFIELD, MA 01103-2143
(413) 739-1100
(412) 693-1012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
87
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37304
HEALTH NEW ENGLAND
MA
01
—
863926
REGISTERED DIETICIAN #
MA
01
—
87
LICENSE
MA
Enumeration date
09/28/2006
Last updated
11/08/2007
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