Lynette Packard-Fales, RD, CDCES, LMNT, LD
NPI #1922478130 in Fort Meade, South Dakota
Provider Information
- NPI Number
- 1922478130
- Entity Type
- Individual
- Name
- Lynette Packard-Fales, RD, CDCES, LMNT, LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, CDCES, LMNT, LD
- Enumeration Date
- Sep 30, 2015
- Last Updated
- Mar 18, 2024
Practice Location
- Address
- 113 COMANCHE RD
- City
- Fort Meade
- State
- South Dakota
- ZIP Code
- 57741-1002
- Phone
- (308) 708-9294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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