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NPI Code Detail

MEDICARE: MRS. KAREN LYNN BASINGER M.S., L.D.N.

MEDICARE: MRS. KAREN LYNN BASINGER M.S., L.D.N.
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
1133N00000XNutritionistN00032MD

General Provider Information

NPI Number : 1972599314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN LYNN BASINGER M.S., L.D.N.
Provider Business Mailing Address
First Line : 24 BAILEYS CT
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-1398
Country : US
Telephone Number : 301-924-5166
Fax Number :
Provider Business Practice Location Address
First Line : 3305 N LEISURE WORLD BLVD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-1367
Country : US
Telephone Number : 301-598-1555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 03/13/2013

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