Individual
MRS. LYNN MARIE DAMMARELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE,LD
Contact information
Practice address
1000 N CURTIS RD, SUITE 305, BOISE, ID 83706-1337
(208) 367-6130
(208) 367-7313
Mailing address
1000 N CURTIS RD, SUITE 305, BOISE, ID 83706-1337
(208) 367-6130
(208) 367-7313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-156
ID
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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