| Lily Caroline Dickerhoff, RDN, MPH, PHD | |
|
2305 Fleming Dr, West Lafayette, IN 47906-5115 | |
| (765) 430-6018 | |
| Not Available |
| Full Name | Lily Caroline Dickerhoff |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 11 Years |
| Location | 2305 Fleming Dr, West Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811874142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 37004391A (Indiana) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Caroline Dickerhoff, RDN, MPH, PHD 2305 Fleming Dr, West Lafayette, IN 47906-5115 Ph: (765) 430-6018 | Lily Caroline Dickerhoff, RDN, MPH, PHD 2305 Fleming Dr, West Lafayette, IN 47906-5115 Ph: (765) 430-6018 |
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