Individual
MRS. LYDIA RUTH MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
445 KAREN DR UNIT 412, WOODBURY, MN 55129-5547
(507) 217-1745
Mailing address
445 KAREN DR UNIT 412, WOODBURY, MN 55129-5547
(507) 217-1745
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4820
MN
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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