NPI 1477547578 · live from the CMS NPI Registry
Lynda J Anderson-Fisk, Dietician
Dietitian, Registered in Coeur D Alene, ID. National Provider Identifier 1477547578, active.
NPI record
| NPI | 1477547578 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 |
| Practice phone | 208-666-2000 |
| Enumerated | September 2, 2005 |
| Last updated | February 23, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D116 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.