IndividualActive
L. Niebaur, RD,CSR, LD
NPI 1023240496 · Renal Nutrition Registered Dietitian · Pocatello, ID
Provider details
- NPI number
- 1023240496
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD,CSR, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- D-009 (ID)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1522 Sod Farm Rd
Pocatello, ID 83204-7532
Phone: (208) 637-1094
Fax: (208) 637-0750
Approximate (ZIP-level) locationGet directions
Mailing address
1522 Sod Farm Rd
Pocatello, ID 83204-7532
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.