Lynn Bachelder
Individual provider Active NPI Registered Dietitian · Galesburg, IL
NPI 1760876007 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1760876007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164003466 (IL)
- Practice address
- 1975 National Blvd
Galesburg, IL 61401-1488 - Phone
- (309) 344-1100
- Fax
- (309) 344-2063
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164003466 | IL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164003466 | IL | Yes |
Addresses
Primary practice location
1975 National Blvd
Galesburg, IL 61401-1488
Mailing address
1975 National Blvd
Galesburg, IL 61401-1488
Phone (309) 344-1100
Other providers in Galesburg, IL
- Azer III, P.C.
- Azer Medical Supply, Inc.
- Azer Rehab Systems, P.C.
- Fakhry Wilson Azer
- Tiffany Marie Babcock
- Bonnie Lou Bair
- Sherry Bartels
- Alexis Christine Batchelder
- Tara Lynn Baum
- Jeffrey A. Baumgardner
All providers in Galesburg, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.