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General NPI Number Information
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NPI Number | 1457208407
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Entity Type | Organization
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Legal Business Name | LETTUCE BE WELL
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 370 SELBY AVE STE 304
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City | SAINT PAUL
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State | MN
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Zip | 55102-1884
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Country | US
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Telephone | 612-807-0614
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 38TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-3427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | LINDSEY ROGERS
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Credential | RD,LD,CDCES
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Telephone | 612-807-0614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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