NPI 1386354124

Lynz Jordan

Practitioner Registered Dietitian Tomah, WI

Practice location

Address: 500 E Veterans St, Tomah, WI 54660-3105
Phone: (715) 897-5411
Mailing address: 209905 Mallard Ln, Edgar, WI 54426-5562

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 3495-29 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1386354124
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2022
Record last updated: 2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.