Doctor Name: | ELIZABETH LEACH DIAS |
NPI Number: | 1659500874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | 2749 |
Business Practice Address: | 170 Governors Ave Medford, MA - 021551643 |
Business Phone Number: | 7813066000 |
Business Fax Number: | |
Mailing Address: | 170 Governors Ave, MEDFORD |
State: | MA |
Postal Code: | 021551643 |
Phone Number: | 4014867747 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2009 |
NPI Last Update Date: | 03/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2749 |
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 |