Jessica M Lind, RD | |
1836 South Avenue, La Crosse, WI 54601 | |
(608) 782-7300 | |
Not Available |
Full Name | Jessica M Lind |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1836 South Avenue, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902335359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 62 (Wisconsin) | Primary |
Provider Name | Emily Program Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014 |
Mailing Address | Practice Location Address |
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Jessica M Lind, RD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Jessica M Lind, RD 1836 South Avenue, La Crosse, WI 54601 Ph: (608) 782-7300 |
Angela Marie Onsgard, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Marisa A Pruitt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Rebecca V Cripe, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Clara Marie Wiencek Williams, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Linda M Barbour, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Ms. Rachel Cora Johnson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Heather L Gustafson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 |