| Tiffany Nicole Lum, RD | |
|
17307 Se 272nd St Ste 126, Covington, WA 98042-5306 | |
| (425) 690-3521 | |
| (425) 690-9521 |
| Full Name | Tiffany Nicole Lum |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 17307 Se 272nd St Ste 126, Covington, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548950157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI61191170 (Washington) | Primary |
| Provider Name | Valley Medical Group-renton |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Nicole Lum, RD 3600 Lind Ave Sw Ste 100, Renton, WA 98057-4970 Ph: (425) 690-3521 | Tiffany Nicole Lum, RD 17307 Se 272nd St Ste 126, Covington, WA 98042-5306 Ph: (425) 690-3521 |
Mrs. Deborah Rae Dehaven, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17700 Se 272nd St Ste 300, Covington, WA 98042 Phone: 253-372-7011 |
Farah Al-hawasli, MPH, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25505 157th Ave Se, Covington, WA 98042 Phone: 206-778-5829 |
Gabrielle Guidry, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17307 Se 272nd St, 126, Covington, WA 98042 Phone: 253-639-2266 Fax: 253-639-8464 |
Kayla R Peterson, RDN, CEP Dietitian Medicare: Accepting Medicare Assignments Practice Location: 17700 Se 272nd St # 190, Covington, WA 98042 Phone: 253-301-5280 Fax: 253-627-4608 |
Abigail R Czekaj, RDN, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 17700 Se 272nd St, Covington, WA 98042 Phone: 253-372-6500 |
Courtney A. Mccliment, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 17307 Se 272nd St Ste 126, Covington, WA 98042 Phone: 425-690-3521 Fax: 425-690-9521 |