Provider Demographics
NPI:1306123724
Name:GEIGER, JOAN LYNN (LRD)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:LYNN
Last Name:GEIGER
Suffix:
Gender:F
Credentials:LRD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 INNSBRUCK DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-6373
Mailing Address - Country:US
Mailing Address - Phone:701-471-9505
Mailing Address - Fax:
Practice Address - Street 1:2800 INNSBRUCK DR
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-6373
Practice Address - Country:US
Practice Address - Phone:701-471-9505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3405133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered