Individual
JENNIFER G LINCECUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1202 21ST AVE, ROCK VALLEY, IA 51247-1420
(712) 476-8000
Mailing address
103 MILL POND RD, ROCK RAPIDS, IA 51246-2083
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001857
IA
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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