| Doctor Name: | LYSSA MERRIAM PETTER |
| NPI Number: | 1710086277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,RD,LDN |
| License Number: | 826 |
| Business Practice Address: | Caritas Holy Family Hospital 70 East Street Convent Building Methuen, MA - 01844 |
| Business Phone Number: | 9786870156 |
| Business Fax Number: | 9786819075 |
| Mailing Address: | 13 Pinecrest Rd, ANDOVER |
| State: | MA |
| Postal Code: | 018105712 |
| Phone Number: | 9786870156 |
| Fax Number: | 9786819075 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 826 |
| 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 |