| Doctor Name: | MARIJEAN LAMOUREAUX |
| NPI Number: | 1063436269 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,LDN,CDE |
| License Number: | 1730 |
| Business Practice Address: | 24 Newton St Southborough, MA - 017721215 |
| Business Phone Number: | 5084603100 |
| Business Fax Number: | 5084603025 |
| Mailing Address: | 24 Newton St, SOUTHBOROUGH |
| State: | MA |
| Postal Code: | 017721215 |
| Phone Number: | 5084603100 |
| Fax Number: | 5084603025 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | 1730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |