NPI Profile for LYLA J TIMM in BISMARCK, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1992893168 |
|
| Status | Active | |
| Credentials | CDE | |
| Entity | Individual | |
| Enumeration date | 10/11/2006 | |
| Last updated | 09/12/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LYLA J TIMM
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