Individual
ALEXANDRA LARCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
42 GASTON ST, MEDFORD, MA 02155-1220
(954) 328-9287
Mailing address
42 GASTON ST, MEDFORD, MA 02155-1220
(954) 328-9287
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN3049
MA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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