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NPI Code Detail

MEDICARE: LINDSAY OOSTERHOUSE RD, LDN

MEDICARE:   LINDSAY  OOSTERHOUSE  RD, LDN
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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1477270866
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY OOSTERHOUSE RD, LDN
Provider Business Mailing Address
First Line : 2606 8TH AVE S APT 330
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2651
Country : US
Telephone Number : 616-485-4366
Fax Number :
Provider Business Practice Location Address
First Line : 2606 8TH AVE S APT 330
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2651
Country : US
Telephone Number : 616-485-4366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2022
Last Update Date : 01/06/2024

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Directions to “ LINDSAY OOSTERHOUSE RD, LDN” Practice Location

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