Individual
MS. SUSAN G LELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3130 STATE HIGHWAY ROUTE 6, WELLFLEET, MA 02667
(508) 349-3131
(508) 349-1311
Mailing address
PO BOX 1944, NORTH EASTHAM, MA 02651
(508) 240-0208
(508) 240-0499
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2312
MA
Other
Enumeration date
11/21/2006
Last updated
03/13/2008
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