Provider Demographics
NPI:1942642798
Name:DEAR, LAUREN ADLER (RD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ADLER
Last Name:DEAR
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 1:18 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-4411
Mailing Address - Country:US
Mailing Address - Phone:617-651-2332
Mailing Address - Fax:888-972-3791
Practice Address - Street 1:22 HILLIARD ST STE 5
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4952
Practice Address - Country:US
Practice Address - Phone:617-651-2332
Practice Address - Fax:888-972-3791
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3549133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered