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NPI Code Detail

MEDICARE: MS. SYDNEY LYNN LAUFENBERG RD

MEDICARE: MS. SYDNEY LYNN LAUFENBERG RD
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 DietitianIA

General Provider Information

NPI Number : 1679141154
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SYDNEY LYNN LAUFENBERG RD
Provider Business Mailing Address
First Line : 2240 9TH ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1575
Country : US
Telephone Number : 319-800-5564
Fax Number :
Provider Business Practice Location Address
First Line : 2240 9TH ST
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1575
Country : US
Telephone Number : 319-800-5564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 09/11/2025

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