Ms Carrie Lyons, RD | |
80 Palomino Ln Ste 101, Bedford, NH 03110-6447 | |
(888) 964-1975 | |
Not Available |
Full Name | Ms Carrie Lyons |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 80 Palomino Ln Ste 101, Bedford, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245867514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 0854 (New Hampshire) | Primary |
Provider Name | Nutrition In Motion |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20100222000623 |
Mailing Address | Practice Location Address |
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Ms Carrie Lyons, RD 7 Davis Ave, Durham, NH 03824-1901 Ph: (814) 321-2127 | Ms Carrie Lyons, RD 80 Palomino Ln Ste 101, Bedford, NH 03110-6447 Ph: (888) 964-1975 |
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