MEDICARE: CHRIS LYNN NOBLIT RD, CLC

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	:	1578565313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS LYNN NOBLIT RD, CLC

Provider Business Mailing Address
First Line	:	200 MERCY CIRCLE
Second Line	:
City	:	CAMP PENDLETON
State	:	CA
Zip	:	92055
Country	:	US
Telephone Number	:	760-458-6364
Fax Number	:

Provider Business Practice Location Address
First Line	:	NAVAL HOSPITAL, CAMP PENDLETON
Second Line	:	BLDG H100, SANTA MARGARITA ROAD
City	:	CAMP PENDLETON
State	:	CA
Zip	:	92055-5191
Country	:	US
Telephone Number	:	760-725-1244
Fax Number	:	760-725-1247

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/07/2025

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