Joan Devito, RD,CDE | |
925 Bevins Ct, Lakeport, CA 95453-9754 | |
(707) 263-8382 | |
(707) 263-5019 |
Full Name | Joan Devito |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 925 Bevins Ct, Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962549469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Lake County Tribal Health Consortium Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
Mailing Address | Practice Location Address |
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Joan Devito, RD,CDE 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 | Joan Devito, RD,CDE 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
Kathleen E Duchene, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5007 Fax: 707-262-5145 | |
Gemalli Austin, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 | |
Kim Schott, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 831 Bevins St, Lakeport, CA 95453 Phone: 707-263-5253 | |
Dawn Pavli, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8392 | |
Katia Zogg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-533-2740 |