Marijean Lamoureaux in Southborough - Nutrition, Pediatric
Marijean Lamoureaux - NPI 1063436269
Marijean Lamoureaux is a Nutrition, Pediatric in Southborough, Massachusetts. Marijean Lamoureaux practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Marijean Lamoureaux is 1063436269. The last update date is 2007-07-08.
Marijean Lamoureaux's current location address is 24 Newton St, Southborough, Massachusetts. You can contact this provider via phone number 5084603100 and fax number 5084603025. The mailing address for Marijean Lamoureaux is 24 Newton St, Southborough, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marijean Lamoureaux |
|---|---|
| Address | 24 Newton St, Southborough, Massachusetts |
| Phone Number | 5084603100 |
| Fax Number | 5084603025 |
| Sole Proprietor | N |
| Credentials | RD,LDN,CDE |
NPI Number Detail
| NPI Number | 1063436269 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24 Newton St |
|---|---|
| City | Southborough |
| State | Massachusetts (MA) |
| Post Code | 17721215 |
| Phone Number | 5084603100 |
| Fax Number | 5084603025 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 1730 |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique identifier code issued to Marijean Lamoureaux by the Centers for Medicare & Medicaid Services (CMS)?
The Marijean Lamoureaux has been assigned the NPI (National Provider Identifier) 1063436269. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Marijean Lamoureaux's physical address?
The Marijean Lamoureaux is physically located at 24 Newton St, in the city of Southborough, MA, with the postal code 17721215.
What is the Marijean Lamoureaux's specialty and taxonomy code?
The Marijean Lamoureaux's specialty is Nutrition, Pediatric, and the corresponding taxonomy code is 133Vn1004X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063436269 to Marijean Lamoureaux?
The Centers for Medicare & Medicaid Services originally issued the 1063436269 to Marijean Lamoureaux on 2006-07-27.
When was the information pertaining to Marijean Lamoureaux most recently updated or revised?
The details related to Marijean Lamoureaux, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.