Provider Demographics
NPI:1184917932
Name:DUCHARME, LINDSAY LEE (RD)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:LEE
Last Name:DUCHARME
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 1:499 WHIPPLE RD
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-2651
Mailing Address - Country:US
Mailing Address - Phone:978-328-2850
Mailing Address - Fax:
Practice Address - Street 1:499 WHIPPLE RD
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-2651
Practice Address - Country:US
Practice Address - Phone:978-328-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2937133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered