Healthcare Provider Details

I. General information

NPI: 1649147141
Provider Name (Legal Business Name): LAURINDA K BILYEU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PRATT ST # 1
ERVING MA
01344-4407
US

IV. Provider business mailing address

20 PRATT ST # 1
ERVING MA
01344-4407
US

V. Phone/Fax

Practice location:
  • Phone: 617-915-2805
  • Fax: 617-579-8543
Mailing address:
  • Phone: 617-915-2805
  • Fax: 617-579-8543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: LAURINDA BILYEU
Title or Position: AUTHORIZED OFFICIAL
Credential: MS RDN LDN
Phone: 617-645-3147