MEDICARE: ERIN LINDORFER NUTRITION, LLC

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

General Provider Information

NPI Number	:	1164378873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIN LINDORFER NUTRITION, LLC

Provider Business Mailing Address
First Line	:	1562 E SENDERO LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83712-6693
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	:	CEO/DIETITIAN
Name	:	MS. ERIN LINDORFER
Credential	:	RD
Telephone Number	:	208-863-4035

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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