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NPI Code Detail

MEDICARE: LYNDA SUE PEEL BROWN RDN, LD

MEDICARE: LYNDA SUE PEEL BROWN RDN, LD
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 DietitianLN112OH

General Provider Information

NPI Number : 1528604311
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA SUE PEEL BROWN RDN, LD
Provider Business Mailing Address
First Line : 1900 S MAIN ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-1216
Country : US
Telephone Number : 419-423-5130
Fax Number :
Provider Business Practice Location Address
First Line : 1900 S MAIN ST
Second Line :
City : FINDLAY
State : OH
Zip : 45840-1216
Country : US
Telephone Number : 419-423-5130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 11/27/2019

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Directions to “ LYNDA SUE PEEL BROWN RDN, LD” Practice Location

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