Most Relevant Information
Provider Data
| NPI Number: | 1003569047 |
| Provider Name: | LYNDI MARIE BERTMAN RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | D-1175 |
Most Important Dates
| Enumeration Date: | 01/31/2022 |
| Last Updated: | 01/31/2022 |
Provider Practice Location
1593 E POLSTON AVE
POST FALLS
ID
838545326
Practice Location Phone/Fax
| Phone: | 2082622300 |
| Fax: | 2082622390 |
Provider Mailing Location
1593 E POLSTON AVE
POST FALLS
ID
838545326
Provider Mailing Phone/Fax
| Phone: | 2082622300 |
| Fax: | 2082622390 |