Provider Demographics
NPI:1891095626
Name:LESCURE, PAULA DENISE BEER (RD)
Entity type:Individual
Prefix:MRS
First Name:PAULA DENISE
Middle Name:BEER
Last Name:LESCURE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:DENISE
Other - Last Name:BEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:133 FAIRFIELD ST
Mailing Address - Street 2:ATTN: LIFESTYLE MEDICINE DEPT
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-1726
Mailing Address - Country:US
Mailing Address - Phone:802-524-8824
Mailing Address - Fax:
Practice Address - Street 1:133 FAIRFIELD ST
Practice Address - Street 2:ATTN: LIFESTYLE MEDICINE DEPT
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1726
Practice Address - Country:US
Practice Address - Phone:802-524-8824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0586133V00000X
VT074.0107451133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered