Individual
LORI FRAN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
111 WILLARD ST STE 2F, QUINCY, MA 02169-1274
(781) 335-7559
(781) 331-6410
Mailing address
111 WILLARD ST STE 2F, QUINCY, MA 02169-1274
(781) 335-7559
(781) 331-6410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
743
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714619
TUFTS HEALTH
MA
01
—
LD0143
BCBS
MA
Enumeration date
11/02/2006
Last updated
03/17/2018
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