| Catherine Lynn Sparboe, RDN | |
|
1540 Lake St S, Forest Lake, MN 55025-2628 | |
| (651) 464-7100 | |
| (654) 241-1515 |
| Full Name | Catherine Lynn Sparboe |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1540 Lake St S, Forest Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720713399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L006977 (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | 5477 (Minnesota) | Primary |
| Provider Name | Nh-cl Clinics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487276499 PECOS PAC ID: 6305262692 Enrollment ID: O20200818000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Lynn Sparboe, RDN 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Catherine Lynn Sparboe, RDN 1540 Lake St S, Forest Lake, MN 55025-2628 Ph: (651) 464-7100 |
Virginia L Bennett, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 Fax: 651-982-5515 | |
Abigail Brekken, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 | |
Rachael Marie Tschida, Dietitian Medicare: Medicare Enrolled Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 | |
Rhonda M Welsch, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 Fax: 651-982-5515 |