Individual
ELIZABETH PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
33 BEDFORD ST, SUITE 20, LEXINGTON, MA 02420-4319
(781) 674-1189
(781) 863-2646
Mailing address
33 BEDFORD ST, SUITE 20, LEXINGTON, MA 02420-4319
(781) 674-1189
(781) 863-2646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1024
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000ICM134
BCBS
MA
Enumeration date
03/08/2007
Last updated
07/08/2007
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