Individual
ELIZABETH LEACH DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 306-6000
Mailing address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(401) 486-7747
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2749
MA
Other
Enumeration date
07/09/2009
Last updated
03/16/2010
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