Ms. Lydia Conner, RDN, LD
Dietitian, Registered in Fort Wayne, Indiana
1407550957- Practice location
- 10007 Acorn Ln, Fort Wayne, IN 46835-9318
- Phone
- 317-900-0309
- Fax
- —
- Last updated
- March 29, 2023
Lydia Conner is a Dietitian, Registered based in Fort Wayne, IN. Lydia Conner practices in Fort Wayne, IN and has the professional credentials of RDN, LD. The NPI Number for Lydia Conner is 1407550957 and holds a License No. 86176626 (NJ). The current practice location address for Lydia Conner is 10007 Acorn Ln, Fort Wayne, IN 46835-9318 and can be reached out via phone at 317-900-0309.
Provider Profile Details
- NPI Number
- 1407550957
- Provider Name
- Lydia Conner
- Credential
- RDN, LD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10007 Acorn Ln, Fort Wayne, IN 46835-9318
- Phone Number
- 317-900-0309
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 29, 2023
- Last Update Date
- March 29, 2023
- Certification Date
- March 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10007 Acorn Ln
Fort Wayne, IN 46835-9318 - City
- Fort Wayne
- State
- Indiana
- Zip
- 46835-9318
- Phone Number
- 317-900-0309
Provider Business Mailing Address Details
- Address
- 987 Haddon Ave
Collingswood, NJ 08108-2048 - City
- Collingswood
- State
- NJ
- Zip
- 08108-2048
- Phone Number
- 856-617-1012
License Information
- License Number (1)
- 86176626
- License State (1)
- NJ
- Taxonomy (1)
- Dietitian, Registered · 133V00000X · Primary
- License Number (2)
- 37003404A
- License State (2)
- IN
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Lydia Conner, RDN, LD?
The NPI number of Ms. Lydia Conner, RDN, LD is 1407550957. It was assigned on March 29, 2023 and is currently active in the NPPES registry.
What is the specialty of Ms. Lydia Conner, RDN, LD?
Ms. Lydia Conner, RDN, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86176626.
Where does Ms. Lydia Conner, RDN, LD practice?
The practice location is 10007 Acorn Ln, Fort Wayne, IN 46835-9318. The office can be reached at 317-900-0309 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407550957 directly on the NPPES registry website.