Provider Demographics
NPI:1053071332
Name:LAMAKINA, JOSEPHINE POLLOCK (RD)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:POLLOCK
Last Name:LAMAKINA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SAGE LN
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3880
Mailing Address - Country:US
Mailing Address - Phone:617-584-5443
Mailing Address - Fax:
Practice Address - Street 1:5 SAGE LN
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3880
Practice Address - Country:US
Practice Address - Phone:617-584-5443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA875630133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered