Individual
LYNAE ADRIEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., LD
Contact information
Practice address
581 W 17TH AVE, EUGENE, OR 97401-3816
(541) 497-3885
(844) 517-6506
Mailing address
581 W 17TH AVE, EUGENE, OR 97401-3816
(541) 497-3885
(844) 517-6506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000872
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500726016
—
OR
Enumeration date
04/16/2010
Last updated
04/26/2021
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