Provider Demographics
NPI:1942674247
Name:LAKRITZ, ELIANA (RD)
Entity Type:Individual
Prefix:MS
First Name:ELIANA
Middle Name:
Last Name:LAKRITZ
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 1:57 UNION ST
Mailing Address - Street 2:STE 102
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-2658
Mailing Address - Country:US
Mailing Address - Phone:413-572-6050
Mailing Address - Fax:413-568-1457
Practice Address - Street 1:57 UNION ST
Practice Address - Street 2:STE 102
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-2658
Practice Address - Country:US
Practice Address - Phone:413-572-6050
Practice Address - Fax:413-568-1457
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000003882133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered