Individual
LYNN MARIE BROOKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
2900 W 16TH ST, BEDFORD, IN 47421
(812) 275-1200
(812) 275-1370
Mailing address
2900 W 16TH ST, BEDFORD, IN 47421
(812) 275-1200
(812) 275-1370
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
IN
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/15/2005
Last updated
02/07/2014
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