Healthcare Provider Details
I. General information
NPI: 1750520540
Provider Name (Legal Business Name): ROBERTA PEARLE LAMB MPH, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/18/2009
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
121 CEDAR AVE
RIVERSIDE RI
02915-5536
US
IV. Provider business mailing address
121 CEDAR AVE
RIVERSIDE RI
02915-5536
US
V. Phone/Fax
- Phone: 781-405-4340
- Fax:
- Phone: 781-405-4340
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | 61317309 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | 1027 |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | 00828 |
| License Number State | RI |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | 1027 |
| License Number State | MA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1004X |
| Taxonomy | Pediatric Nutrition Registered Dietitian |
| License Number | 1027 |
| License Number State | MA |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1005X |
| Taxonomy | Renal Nutrition Registered Dietitian |
| License Number | 1027 |
| License Number State | MA |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1006X |
| Taxonomy | Metabolic Nutrition Registered Dietitian |
| License Number | 61317309 |
| License Number State | WA |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1006X |
| Taxonomy | Metabolic Nutrition Registered Dietitian |
| License Number | 1027 |
| License Number State | MA |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1101X |
| Taxonomy | Gerontological Nutrition Registered Dietitian |
| License Number | 61317309 |
| License Number State | WA |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1201X |
| Taxonomy | Obesity and Weight Management Nutrition Registered Dietitian |
| License Number | 61317309 |
| License Number State | WA |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1201X |
| Taxonomy | Obesity and Weight Management Nutrition Registered Dietitian |
| License Number | 00828 |
| License Number State | RI |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133VN1301X |
| Taxonomy | Oncology Nutrition Registered Dietitian |
| License Number | 61317309 |
| License Number State | WA |
| # 13 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | 1027 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
