Provider Demographics
NPI:1558563676
Name:MORRISON, CHRISTINA LYN (RD)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LYN
Last Name:MORRISON
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 1:1 FOX HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-3171
Mailing Address - Country:US
Mailing Address - Phone:978-495-0874
Mailing Address - Fax:
Practice Address - Street 1:12 UXBRIDGE RD
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:MA
Practice Address - Zip Code:01756-1094
Practice Address - Country:US
Practice Address - Phone:508-634-6620
Practice Address - Fax:508-634-6813
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2328133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered