Individual
LINDSAY WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2454
Mailing address
200 SPRINGS RD, 120, NUTRITION DEPARTMENT, BEDFORD, MA 01730-1198
(781) 687-2454
(781) 687-4440
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4617-NU
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084616
ACADEMY OF NUTRITION AND DIETETICS
—
01
—
4617-NU
MASSACHUSETTS BOARD OF REGISTRATION OF DIETITIANS AND NUTRITIONISTS
MA
Enumeration date
09/26/2019
Last updated
09/26/2019
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