Individual
MS. JENNIFER EILEEN LOCKE
Active
Sole proprietor
No
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
Mailing address
33 BEDFORD ST, SUITE 20, LEXINGTON, MA 02420-4319
(781) 674-1189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2842
MA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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