LESLIE C. BAK CNSD RD LDN NPI 1417134214

NPI Information

NPI: 1417134214
Provider Name: LESLIE C. BAK, CNSD, RD, LDN
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
680 CENTRE ST
BROCKTON, MA
ZIP 02302
Phone: (508) 941-7252
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Leslie C. Bak, CNSD, RD, LDN is a nutrition and metabolic dietitian registered in Brockton, MA. Leslie C. Bak, CNSD, RD, LDN NPI is 1417134214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

680 CENTRE ST
BROCKTON, MA
ZIP 02302-308
Phone: (508) 941-7252
Fax: (508) 941-6412

The enumeration date for this NPI number is 1/24/2008 and was last updated on 1/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	2187	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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