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NPI Code Detail

MEDICARE: JASMYNN LAHNER

MEDICARE: JASMYNN LAHNER
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 DietitianDT84210TX

General Provider Information

NPI Number : 1821648288
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMYNN LAHNER
Provider Business Mailing Address
First Line : 1111 AUSTIN HWY APT 2103
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-4804
Country : US
Telephone Number : 832-716-0674
Fax Number :
Provider Business Practice Location Address
First Line : 1111 AUSTIN HWY APT 2103
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-4804
Country : US
Telephone Number : 832-716-0674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2019
Last Update Date : 09/18/2019

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