Individual
MRS. LYNN ANNE BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 736-3331
Mailing address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 736-3331
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940990X
MEDICARE INDIVIDUAL PROVI
IN
Enumeration date
07/11/2007
Last updated
07/11/2007
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