Individual
LYNETTE PACKARD-FALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDCES, LMNT, LD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(308) 708-9294
Mailing address
201 N PLATT ST, RAPID CITY, SD 57702-0361
(308) 708-9294
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1228
NE
Other
Enumeration date
09/30/2015
Last updated
03/18/2024
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