Active NPIIndividual providerSole proprietor

Lisa F Gormley, MS, RD, LDN, CWPM

Dietitian, Registered in Medford, Massachusetts

NPI Number1073843215
Practice location
26 City Hall Mall, Medford, MA 02155-4754
Fax
—
Last updated
August 16, 2019

Lisa Ferreira Gormley is a Dietitian, Registered based in Medford, MA. Lisa Ferreira Gormley practices in Medford, MA and has the professional credentials of MS, RD, LDN, CWPM. The NPI Number for Lisa Ferreira Gormley is 1073843215 and holds a License No. 2886 (MA). The current practice location address for Lisa Ferreira Gormley is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 617-629-6444.

Provider Profile Details

NPI Number
1073843215
Provider Name
Lisa Ferreira Gormley
Credential
MS, RD, LDN, CWPM
Provider Entity Type
Individual
Gender
Female
Address
26 City Hall Mall, Medford, MA 02155-4754
Phone Number
617-629-6444
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2010
Last Update Date
August 16, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
Zip
02155-4754
Phone Number
617-629-6444
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
City
Medford
State
MA
Zip
02155-4754

License Information

License Number
2886
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa F Gormley, MS, RD, LDN, CWPM?

The NPI number of Lisa F Gormley, MS, RD, LDN, CWPM is 1073843215. It was assigned on January 11, 2010 and is currently active in the NPPES registry.

What is the specialty of Lisa F Gormley, MS, RD, LDN, CWPM?

Lisa F Gormley, MS, RD, LDN, CWPM is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2886.

Where does Lisa F Gormley, MS, RD, LDN, CWPM practice?

The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 617-629-6444 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073843215 directly on the NPPES registry website.

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