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NPI Code Detail

MEDICARE: DEANNA LYNN FRANCIS MS RD LD CDE

MEDICARE: DEANNA LYNN FRANCIS MS RD LD CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian2105MN

General Provider Information

NPI Number : 1578608055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA LYNN FRANCIS MS RD LD CDE
Provider Business Mailing Address
First Line : 15402 WOOD DUCK TRL NW
Second Line :
City : PRIOR LAKE
State : MN
Zip : 55372-4510
Country : US
Telephone Number : 952-440-8212
Fax Number : 952-403-3806
Provider Business Practice Location Address
First Line : 2603 WHITE BEAR AVE N
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-5110
Country : US
Telephone Number : 651-600-3035
Fax Number : 651-348-8783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 04/20/2021

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