MEDICARE: SANDRA LEMANSKI RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	94	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LD0026	OTHER	MA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1154425726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LEMANSKI RD

Provider Business Mailing Address
First Line	:	PO BOX 489
Second Line	:
City	:	EAST LONGMEADOW
State	:	MA
Zip	:	01028-0489
Country	:	US
Telephone Number	:	413-525-9445
Fax Number	:	413-525-9406

Provider Business Practice Location Address
First Line	:	112 WESTFIELD ST STE C
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-2577
Country	:	US
Telephone Number	:	413-786-2957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	02/12/2026

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