Provider Demographics
NPI:1962758565
Name:BILYEU, LAURINDA K (MS RD)
Entity type:Individual
Prefix:
First Name:LAURINDA
Middle Name:K
Last Name:BILYEU
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 BARNARD RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01370-9795
Mailing Address - Country:US
Mailing Address - Phone:617-645-3147
Mailing Address - Fax:
Practice Address - Street 1:171 BARNARD RD
Practice Address - Street 2:
Practice Address - City:SHELBURNE FALLS
Practice Address - State:MA
Practice Address - Zip Code:01370-9795
Practice Address - Country:US
Practice Address - Phone:617-645-3147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA01022336133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered