Lana M Usilton, C.N.

NPI #1811255755 in Fruitland, Idaho

Provider Information

NPI Number: 1811255755
Entity Type: Individual
Name: Lana M Usilton, C.N.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Credential: C.N.
Enumeration Date: Apr 29, 2012
Last Updated: Apr 29, 2012

Practice Location

Address: 1611 N WHITLEY DR
Address 2: STE 1A
City: Fruitland
State: Idaho
ZIP Code: 83619-2177
Phone: (208) 452-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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