Search › Idaho › 133VN1005X
L. Niebaur, RD,CSR, LD
NPI 1023240496 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1522 Sod Farm Rd
Pocatello, ID 83204 - Phone
- (208) 637-1094
- Fax
- (208) 637-0750
Registry record
- Primary taxonomy
- 133VN1005X
133VN1005X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho