Provider Demographics
NPI:1811522402
Name:LAUREN ADLER DEAR
Entity type:Organization
Organization Name:LAUREN ADLER DEAR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAR
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:617-651-2332
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty