Individual
LYNNETTE SEVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.
Contact information
Practice address
7821 N 10TH ST, TACOMA, WA 98406-1059
(603) 545-9766
Mailing address
7821 N 10TH ST, TACOMA, WA 98406-1059
(603) 545-9766
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0639
NH
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001496
WA
Other
Enumeration date
06/05/2007
Last updated
02/19/2015
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