| Lisa Stewart Mink, RD | |
|
1925 W. Mountain View Ave, Longmont, CO 80501 | |
| (720) 494-3119 | |
| Not Available |
| Full Name | Lisa Stewart Mink |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 38 Years |
| Location | 1925 W. Mountain View Ave, Longmont, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053600957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 717690 (California) | Secondary |
| 133V00000X | Dietitian, Registered | 717690 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1607 |
| Provider Name | Catholic Health Initiatives Colorado |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Provider Name | Poudre Valley Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Stewart Mink, RD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 485-4198 | Lisa Stewart Mink, RD 1925 W. Mountain View Ave, Longmont, CO 80501 Ph: (720) 494-3119 |
Deborah Gertner, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1239 Collyer St, Longmont, CO 80501 Phone: 720-593-8190 | |
Peak Nutrition Works Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1309 Sunset St, Longmont, CO 80501 Phone: 720-684-4147 Fax: 303-651-6781 | |
Amber Layton, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1426 S Pratt Pkwy, Longmont, CO 80501 Phone: 720-600-8240 | |
Melinda Benz Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1751 Hover St, Ste B4 #84, Longmont, CO 80501 Phone: 719-347-1310 | |
Sheryl A Bachman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3190 | |
Ms. Laura Palazzolo Kraus, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1254 Gay St, Longmont, CO 80501 Phone: 914-262-7879 |