Marijean Lamoureaux, RD,LDN,CDE

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

1730 Issued in MA

Practice address

24 Newton St
Southborough, MA 01772-1215

Phone

(508) 460-3100

Fax

(508) 460-3025

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063436269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NEWTON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-460-3100",
            "fax_number": "508-460-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NEWTON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-460-3100",
            "fax_number": "508-460-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOUREAUX",
        "first_name": "MARIJEAN",
        "credential": "RD,LDN,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MA",
            "license": "1730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Lachapelle
• Sarah Lafontaine, M.S., CCC-SLP
• William Lafreniere
• Timothy Wai Hung Lam
• Tess E Lambros, MSED, BCBA
• Catherine Anne Lang, PHARMD
• Michelle Lapointe, OTR/L
• Sarah Leathe
• Grace Elizabeth Lellman
• Ashley Marie Leonardi

• Pediatric Nutrition Registered Dietitian in Southborough, MA
• Providers in Southborough, MA by specialty
• Pediatric Nutrition Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.