L. Elaine Niebaur, RD,CSR, LD

NPI #1023240496 in Pocatello, Idaho

Provider Information

NPI Number
1023240496
Entity Type
Individual
Name
L. Elaine Niebaur, RD,CSR, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered - Nutrition, Renal
Credential
RD,CSR, LD
Enumeration Date
Aug 18, 2009
Last Updated
Aug 18, 2009

Practice Location

Address
1522 SOD FARM RD
State
Idaho
ZIP Code
83204-7532
Phone
(208) 637-1094

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered - Nutrition, RenalNutrition, Renal

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