Provider Demographics
NPI:1669197810
Name:LEMIRE, SARAH CATHERINE (MS, RD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:LEMIRE
Suffix:
Gender:F
Credentials:MS, 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 BRABROOK RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-5609
Mailing Address - Country:US
Mailing Address - Phone:978-844-6074
Mailing Address - Fax:
Practice Address - Street 1:5 BRABROOK RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-5609
Practice Address - Country:US
Practice Address - Phone:978-844-6074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
86171033133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered