Lynn Seabolt Jr., RD
Dietitian, Registered in Rogers, AR. Individual provider (NPI-1).
NPI number1114177474
StatusActive
Last updated in NPPESSep 23, 2008
Details
- NPI
- 1114177474
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lynn Seabolt Jr.
- Credential
- RD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2008
- Last updated
- Sep 23, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1015 | AR | Yes |
Practice location
2710 Rife Medical LnRogers, AR 72758-1452
Phone 479-338-2975
Mailing address
1702 Beth DrRogers, AR 72758-5647
Phone 918-605-8883
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All 18 Registered Dietitian providers in Rogers · All 2,498 providers in Rogers
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