Individual
MRS. LYNETTE SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
509 N MADISON ST, BLOOMFIELD, IA 52537-1271
(641) 664-2145
(641) 664-1895
Mailing address
509 N MADISON ST, BLOOMFIELD, IA 52537-1271
(641) 664-2145
(641) 664-1895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00757
IA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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