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Individual

KATHRYN LYONS EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
2930 RIDGE RD, WINDSOR MILL, MD 21244-1044
(207) 706-6903

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2599
MA
133V00000X
Registered Dietitian
DX4282
MD

Other

Enumeration date
04/24/2019
Last updated
04/24/2019
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