Healthcare Provider Details

I. General information

NPI: 1285773127
Provider Name (Legal Business Name): LAURA HILL EINBINDER RD, LDN, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 HIGH ST
WESTWOOD MA
02090-1628
US

IV. Provider business mailing address

2 LILAC LN
MEDFIELD MA
02052-1734
US

V. Phone/Fax

Practice location:
  • Phone: 781-326-7700
  • Fax:
Mailing address:
  • Phone: 508-359-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number2498
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: