Active NPIIndividual provider

Mrs. Judith L Lyden, RD CDE

Dietitian, Registered in Hull, Massachusetts

NPI Number1609931609
Practice location
180 George Washington Blvd, Manet Community Health Center, Hull, MA 02045-3069
Fax
781-925-5052
Last updated
July 8, 2007

Judith L Lyden is a Dietitian, Registered based in Hull, MA. Judith L Lyden practices in Hull, MA and has the professional credentials of RD CDE. The NPI Number for Judith L Lyden is 1609931609 and holds a License No. 1438 (MA). The current practice location address for Judith L Lyden is 180 George Washington Blvd, Manet Community Health Center, Hull, MA 02045-3069 and can be reached out via phone at 781-925-4550 and via fax at 781-925-5052.

Provider Profile Details

NPI Number
1609931609
Provider Name
Judith L Lyden
Credential
RD CDE
Provider Entity Type
Individual
Gender
Female
Address
180 George Washington Blvd, Manet Community Health Center, Hull, MA 02045-3069
Phone Number
781-925-4550
Fax Number
781-925-5052
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
December 27, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 George Washington Blvd
Manet Community Health Center
Hull, MA 02045-3069
City
Hull
Zip
02045-3069
Phone Number
781-925-4550
Fax Number
781-925-5052
Hull, MA 02045Get directions →

Provider Business Mailing Address Details

Address
110 W Squantum St
Manet Community Health Center INC
No Quincy, MA 02171-2122
City
No Quincy
State
MA
Zip
02171-2122
Phone Number
617-376-3000
Fax Number
617-774-1906

License Information

License Number
1438
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 Mrs. Judith L Lyden, RD CDE?

The NPI number of Mrs. Judith L Lyden, RD CDE is 1609931609. It was assigned on December 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Judith L Lyden, RD CDE?

Mrs. Judith L Lyden, RD CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 1438.

Where does Mrs. Judith L Lyden, RD CDE practice?

The practice location is 180 George Washington Blvd, Manet Community Health Center, Hull, MA 02045-3069. The office can be reached at 781-925-4550 (phone) or 781-925-5052 (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 1609931609 directly on the NPPES registry website.

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