Provider Demographics
NPI:1770752719
Name:LUBMAN, NADIA (MS, RDN, LDN, CDCES)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:
Last Name:LUBMAN
Suffix:
Gender:F
Credentials:MS, RDN, LDN, CDCES
Other - Prefix:MRS
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:LUBMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:237 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4433
Mailing Address - Country:US
Mailing Address - Phone:347-589-9087
Mailing Address - Fax:
Practice Address - Street 1:15 ROCHE BROTHERS WAY STE 220
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1000
Practice Address - Country:US
Practice Address - Phone:347-223-1812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006204133V00000X
MA4060133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered