Individual
LORRAINE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
42 THOREAU ST, CONCORD, MA 01742-2411
(978) 456-8053
Mailing address
95 DEPOT RD, HARVARD, MA 01451-1325
(978) 456-8053
(978) 456-8053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
271
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39251
HPHC PROVIDER NUMBER
MA
01
—
712215
TUFTS PROVIDER NUMBER
MA
01
—
LD 0057
BLUE CROSS PROVIDER NUMBE
MA
Enumeration date
03/05/2007
Last updated
07/08/2007
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