Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lane, MS, RDN

Individual provider Registered Dietitian · NPI 1124792957

Jennifer Lane, MS, RDN is a Registered Dietitian in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

207 S McDowell Blvd # 1063
Petaluma, CA 94954-3505
Phone: (707) 338-2474
Fax: (707) 221-1688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 984565 (CA)

Record details

NPI number1124792957
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

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