Active NPIIndividual providerSole proprietor

Lynn M Bolduc, MS, RD, LD, CDE

Dietitian, Registered in Bangor, Maine

NPI Number1902827207
Practice location
905 Union St, Suite 11, Bangor, ME 04401-3050
Fax
207-973-7424
Last updated
July 26, 2017

Lynn M Bolduc is a Dietitian, Registered based in Bangor, ME. Lynn M Bolduc practices in Bangor, ME and has the professional credentials of MS, RD, LD, CDE. The NPI Number for Lynn M Bolduc is 1902827207 and holds a License No. D1517 (ME). The current practice location address for Lynn M Bolduc is 905 Union St, Suite 11, Bangor, ME 04401-3050 and can be reached out via phone at 207-973-7334 and via fax at 207-973-7424.

Provider Profile Details

NPI Number
1902827207
Provider Name
Lynn M Bolduc
Credential
MS, RD, LD, CDE
Provider Entity Type
Individual
Gender
Female
Address
905 Union St, Suite 11, Bangor, ME 04401-3050
Phone Number
207-973-7334
Fax Number
207-973-7424
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2006
Last Update Date
July 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
905 Union St
Suite 11
Bangor, ME 04401-3050
City
Bangor
State
Maine
Zip
04401-3050
Phone Number
207-973-7334
Fax Number
207-973-7424
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill
Suite 300
Brewer, ME 04412
City
Brewer
State
ME
Zip
04412
Phone Number
207-973-7334
Fax Number
207-973-7424

License Information

License Number
D1517
License State
ME
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 Lynn M Bolduc, MS, RD, LD, CDE?

The NPI number of Lynn M Bolduc, MS, RD, LD, CDE is 1902827207. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Lynn M Bolduc, MS, RD, LD, CDE?

Lynn M Bolduc, MS, RD, LD, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number D1517.

Where does Lynn M Bolduc, MS, RD, LD, CDE practice?

The practice location is 905 Union St, Suite 11, Bangor, ME 04401-3050. The office can be reached at 207-973-7334 (phone) or 207-973-7424 (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 1902827207 directly on the NPPES registry website.

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