Kennedy Lauren Johnston, RDN | |
900 Sunset Dr, La Grande, OR 97850-1387 | |
(541) 963-8421 | |
Not Available |
Full Name | Kennedy Lauren Johnston |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 900 Sunset Dr, La Grande, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376125443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 10213212 (Oregon) | Primary |
Provider Name | Nutrition Instincts, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972067734 PECOS PAC ID: 6406229731 Enrollment ID: O20230307000908 |
Mailing Address | Practice Location Address |
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Kennedy Lauren Johnston, RDN 2000 Gekeler Ln Apt 39, La Grande, OR 97850-3489 Ph: (818) 424-3792 | Kennedy Lauren Johnston, RDN 900 Sunset Dr, La Grande, OR 97850-1387 Ph: (541) 963-8421 |
Jessica Lynn Reynolds, R.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-910-6170 | |
Mrs. Susan K Lewis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 Fax: 541-963-1845 | |
Charlene Marie Stevens, RDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2708 Umatilla St, La Grande, OR 97850 Phone: 208-301-8777 |