Active NPIIndividual provider

Ms. Susan G Lellis, RD

Dietitian, Registered in Wellfleet, Massachusetts

NPI Number1588739387
Practice location
3130 State Highway Route 6, Wellfleet, MA 02667
Fax
508-349-1311
Last updated
March 13, 2008

Susan G Lellis is a Dietitian, Registered based in Wellfleet, MA. Susan G Lellis practices in Wellfleet, MA and has the professional credentials of RD. The NPI Number for Susan G Lellis is 1588739387 and holds a License No. 2312 (MA). The current practice location address for Susan G Lellis is 3130 State Highway Route 6, Wellfleet, MA 02667 and can be reached out via phone at 508-349-3131 and via fax at 508-349-1311.

Provider Profile Details

NPI Number
1588739387
Provider Name
Susan G Lellis
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
3130 State Highway Route 6, Wellfleet, MA 02667
Phone Number
508-349-3131
Fax Number
508-349-1311
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2006
Last Update Date
March 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
3130 State Highway Route 6
Wellfleet, MA 02667
Zip
02667
Phone Number
508-349-3131
Fax Number
508-349-1311
Wellfleet, MA 02667Get directions →

Provider Business Mailing Address Details

Address
Po Box 1944
North Eastham, MA 02651
City
North Eastham
State
MA
Zip
02651
Phone Number
508-240-0208
Fax Number
508-240-0499

License Information

License Number
2312
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 Ms. Susan G Lellis, RD?

The NPI number of Ms. Susan G Lellis, RD is 1588739387. It was assigned on November 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan G Lellis, RD?

Ms. Susan G Lellis, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2312.

Where does Ms. Susan G Lellis, RD practice?

The practice location is 3130 State Highway Route 6, Wellfleet, MA 02667. The office can be reached at 508-349-3131 (phone) or 508-349-1311 (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 1588739387 directly on the NPPES registry website.

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