Individual
MR. JON RICKY LANMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CEP
Contact information
Practice address
2050 NE TRADITIONS CT, BEND, OR 97701-6744
(509) 598-6894
Mailing address
2050 NE TRADITIONS CT, BEND, OR 97701-6744
(509) 598-6894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NU61066518
WA
Other
Enumeration date
06/08/2020
Last updated
10/12/2022
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