Doctor Name: | MRS. JUDITH L LYDEN |
NPI Number: | 1609931609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD CDE |
License Number: | 1438 |
Business Practice Address: | 180 George Washington Blvd Manet Community Health Center Hull, MA - 020453069 |
Business Phone Number: | 7819254550 |
Business Fax Number: | 7819255052 |
Mailing Address: | 110 W Squantum St, Manet Community Health Center Inc NO QUINCY |
State: | MA |
Postal Code: | 021712122 |
Phone Number: | 6173763000 |
Fax Number: | 6177741906 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |