Individual
TRACY LYNN NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-6000
Mailing address
PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1720
MN
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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