| Doctor Name: | CRISTINA LYN DETHLOFF |
| NPI Number: | 1437121670 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD/N |
| License Number: | ND4385 |
| Business Practice Address: | 1600 Lakeland Hills Blvd Lakeland, FL - 338053019 |
| Business Phone Number: | 8636807000 |
| Business Fax Number: | 8636807420 |
| Mailing Address: | P.o. Box 95004, LAKELAND |
| State: | FL |
| Postal Code: | 338045004 |
| Phone Number: | 8636807000 |
| Fax Number: | 8636807420 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 04/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | ND4385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |