MEDICARE: ERIN LINDORFER MS, RD, LD

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
1	133V00000X	Registered Dietitian	86079371

General Provider Information

NPI Number	:	1841773314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LINDORFER MS, RD, LD

Provider Business Mailing Address
First Line	:	515 S VISTA AVE
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83705-1710
Country	:	US
Telephone Number	:	208-297-3610
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 S VISTA AVE
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83705-1710
Country	:	US
Telephone Number	:	208-297-3610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2018
Last Update Date	:	06/03/2026

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