Individual
LYNETTE MIENTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-6808
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-6808
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86299354
—
Other
Enumeration date
08/29/2022
Last updated
01/23/2025
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