MEDICARE: CHRISTY WALOWIT

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	:	1326810722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY WALOWIT

Provider Business Mailing Address
First Line	:	3079 HARRISON AVE STE 12
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150-7978
Country	:	US
Telephone Number	:	530-314-8870
Fax Number	:	530-314-8972

Provider Business Practice Location Address
First Line	:	3079 HARRISON AVE STE 12
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150-7978
Country	:	US
Telephone Number	:	530-314-8870
Fax Number	:	530-314-8972

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

Provider Enumeration Date	:	10/27/2023
Last Update Date	:	12/08/2025

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Directions to “ CHRISTY WALOWIT ” Practice Location

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