Individual
LINDSEY KAY SYVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1655 BEAM AVE, #302, MAPLEWOOD, MN 55109-1163
(651) 227-6351
(651) 227-1134
Mailing address
1655 BEAM AVE, #302, MAPLEWOOD, MN 55109-1163
(651) 227-6351
(651) 227-1134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2867
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71000834
PTAN
MN
Enumeration date
11/09/2009
Last updated
11/02/2011
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