Lynn Marie Clark, RD

NPI #1346461944 in Mequon, Wisconsin

Provider Information

NPI Number: 1346461944
Entity Type: Individual
Name: Lynn Marie Clark, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10500 N. STRATFORD PLACE
City: Mequon
State: Wisconsin
ZIP Code: 53092-5553
Phone: (262) 242-7808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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