Most Relevant Information
Provider Data
| NPI Number: | 1003570789 |
| Provider Name: | CLAIRE CUTLER RUSSO |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 4713 |
Most Important Dates
| Enumeration Date: | 10/28/2021 |
| Last Updated: | 10/28/2021 |
Provider Practice Location
34 HAVERHILL ST
LAWRENCE
MA
018412884
Practice Location Phone/Fax
| Phone: | 9786860090 |
| Fax: | 9786815963 |
Provider Mailing Location
34 HAVERHILL ST
LAWRENCE
MA
018412884
Provider Mailing Phone/Fax
| Phone: | 9786860090 |
| Fax: | 9786815963 |