NPI 1760876007 · live from the CMS NPI Registry
Lynn Bachelder
Dietitian, Registered in Galesburg, IL. National Provider Identifier 1760876007, active.
NPI record
| NPI | 1760876007 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1975 National Blvd, Galesburg, IL 61401 |
| Practice phone | 309-344-1100 |
| Enumerated | March 25, 2015 |
| Last updated | March 25, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164003466 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.