Individual
DIANE LOUISE LINDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1111 W SPRUCE ST STE 32, YAKIMA, WA 98902-3222
(509) 949-1626
(509) 452-6295
Mailing address
1111 W SPRUCE ST STE 32, YAKIMA, WA 98902-3222
(509) 949-1626
(509) 452-6295
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00001183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI00001183
WASHINGTON STATE DEPT. OF HEALTH
WA
Enumeration date
02/20/2009
Last updated
02/20/2009
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