Individual
LAINIE KAE HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CDE
Contact information
Practice address
N4773 STATE HIGHWAY 76, SHIOCTON, WI 54170-8805
(920) 470-3174
Mailing address
N4773 STATE HIGHWAY 76, SHIOCTON, WI 54170-8805
(920) 470-3174
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1658029
WI
Other
Enumeration date
02/12/2007
Last updated
09/10/2012
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