Doctor Name: | LYNNE R VANBUSKIRK |
NPI Number: | 1467684530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DI60102422 |
Business Practice Address: | 1601 E Fourth Plain Blvd Building 17 3rd Floor Vancouver, WA - 986613753 |
Business Phone Number: | 3603978459 |
Business Fax Number: | 3603978110 |
Mailing Address: | Po Box 9825, VANCOUVER |
State: | WA |
Postal Code: | 986668825 |
Phone Number: | 3603978459 |
Fax Number: | 3603978110 |
NPI Enumeration Date: | 08/21/2009 |
NPI Last Update Date: | 08/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI60102422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |