Wendy Walker, RD, LD, CNSD | |
100 Hospital Dr, Lebanon, MO 65536-9210 | |
(417) 533-6047 | |
Not Available |
Full Name | Wendy Walker |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 100 Hospital Dr, Lebanon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326287442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2005026017 (Missouri) | Primary |
Provider Name | Lake Regional Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
Mailing Address | Practice Location Address |
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Wendy Walker, RD, LD, CNSD 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6047 | Wendy Walker, RD, LD, CNSD 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6047 |
Mrs. Isabella Christina Brown, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6335 | |
Mrs. Shannon Michelle Smith, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 | |
Ms. Laraine Dell Walters, RD LD LPN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26799 Owens Dr, Lebanon, MO 65536 Phone: 417-532-9411 | |
Emily Adams, RD Dietitian Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6409 |