Individual
CHRISTINE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
157 UNION ST, MARLBOROUGH, MA 01752-1228
(508) 481-5000
Mailing address
19 WINDMILL DR, MARLBOROUGH, MA 01752-1206
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
963992
MA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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