Active NPIIndividual provider

Bethany Lusk, RD

Dietitian, Registered in Brockton, Massachusetts

NPI Number1558721506
Practice location
189 Quincy St, Brockton, MA 02302-2967
Fax
508-584-3010
Last updated
December 8, 2017

Bethany Lusk is a Dietitian, Registered based in Brockton, MA. Bethany Lusk practices in Brockton, MA and has the professional credentials of RD. The NPI Number for Bethany Lusk is 1558721506. The current practice location address for Bethany Lusk is 189 Quincy St, Brockton, MA 02302-2967 and can be reached out via phone at 508-588-6700 and via fax at 508-584-3010.

Provider Profile Details

NPI Number
1558721506
Provider Name
Bethany Lusk
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
189 Quincy St, Brockton, MA 02302-2967
Phone Number
508-588-6700
Fax Number
508-584-3010
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 3, 2016
Last Update Date
December 8, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
189 Quincy St
Brockton, MA 02302-2967
Zip
02302-2967
Phone Number
508-588-6700
Fax Number
508-584-3010
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
189 Quincy St
Brockton, MA 02302-2967
City
Brockton
State
MA
Zip
02302-2967
Phone Number
508-588-6700
Fax Number
508-584-3010

License Information

License State (1)
MA
License State (2)
MA
Taxonomy (2)
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 Bethany Lusk, RD?

The NPI number of Bethany Lusk, RD is 1558721506. It was assigned on March 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Bethany Lusk, RD?

Bethany Lusk, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Bethany Lusk, RD practice?

The practice location is 189 Quincy St, Brockton, MA 02302-2967. The office can be reached at 508-588-6700 (phone) or 508-584-3010 (fax).

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 1558721506 directly on the NPPES registry website.

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