MEDICARE: MRS. LINDA JOYCE LENNETT R.D.,M.S.

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	46167-2	NY

General Provider Information

NPI Number	:	1942387584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA JOYCE LENNETT R.D.,M.S.

Provider Business Mailing Address
First Line	:	250 SAINT PAUL DR
Second Line	:
City	:	ALAMO
State	:	CA
Zip	:	94507-1648
Country	:	US
Telephone Number	:	925-855-0150
Fax Number	:	925-362-0806

Provider Business Practice Location Address
First Line	:	250 SAINT PAUL DR
Second Line	:
City	:	ALAMO
State	:	CA
Zip	:	94507-1648
Country	:	US
Telephone Number	:	925-855-0150
Fax Number	:	925-362-0806

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	12/17/2020

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