Active NPIIndividual provider

Shane E Lazar, RDN

Dietitian, Registered in Acton, Massachusetts

NPI Number1073987806
Practice location
3223 Avalon Dr, Acton, MA 01720-3454
Fax
—
Last updated
November 17, 2015

Shane Erica Lazar is a Dietitian, Registered based in Acton, MA. Shane Erica Lazar practices in Acton, MA and has the professional credentials of RDN. The NPI Number for Shane Erica Lazar is 1073987806. The current practice location address for Shane Erica Lazar is 3223 Avalon Dr, Acton, MA 01720-3454 and can be reached out via phone at 978-884-7696.

Provider Profile Details

NPI Number
1073987806
Provider Name
Shane Erica Lazar
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
3223 Avalon Dr, Acton, MA 01720-3454
Phone Number
978-884-7696
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
November 17, 2015
Last Update Date
November 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
3223 Avalon Dr
Acton, MA 01720-3454
City
Acton
Zip
01720-3454
Phone Number
978-884-7696
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
3223 Avalon Dr
Acton, MA 01720-3454
City
Acton
State
MA
Zip
01720-3454
Phone Number
978-884-7696

License Information

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 Shane E Lazar, RDN?

The NPI number of Shane E Lazar, RDN is 1073987806. It was assigned on November 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Shane E Lazar, RDN?

Shane E Lazar, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Shane E Lazar, RDN practice?

The practice location is 3223 Avalon Dr, Acton, MA 01720-3454. The office can be reached at 978-884-7696 (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 1073987806 directly on the NPPES registry website.

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