Individual
MRS. LYNNE J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN
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
Update your record
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