Individual
JENNIFER LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
18 W INDUSTRIAL DR, O FALLON, MO 63366-1926
(314) 626-3472
Mailing address
72 FREYMUTH RD, LAKE SAINT LOUIS, MO 63367-1906
(314) 322-8407
(314) 344-6592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2014030811
MO
Other
Enumeration date
03/18/2015
Last updated
09/26/2020
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