Dethloff, Cristina Lyn

Dethloff, Cristina Lyn is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dethloff, Cristina Lyn can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
13330 Usf Laurel Dr Tampa FL 33612-6601
Phone: (813) 974-2201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND4385 Florida

Profile Details

NPI number 1437121670
LBN Legal business name Dethloff, Cristina Lyn
Credentials RD, LD/N
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437121670 NPPES
Florida Other N0221 BLUE CROSS BLUE SHIELD

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