Individual
JESSICA E LANE-QUINQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
5 FEDERAL ST, DANVERS, MA 01923-5504
(978) 774-0730
Mailing address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2288
MA
Other
Enumeration date
03/27/2007
Last updated
11/16/2010
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