Provider Demographics
NPI:1902424781
Name:DEBORAH LAMB RD, LLC
Entity Type:Organization
Organization Name:DEBORAH LAMB RD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:781-942-2938
Mailing Address - Street 1:22 KEITH RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3345
Mailing Address - Country:US
Mailing Address - Phone:781-942-2938
Mailing Address - Fax:
Practice Address - Street 1:22 KEITH RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3345
Practice Address - Country:US
Practice Address - Phone:781-942-2938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty