Doctor Name: | MS. JUDITH ELAINE LYNCH |
NPI Number: | 1124221734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, PA |
License Number: | ND5728 |
Business Practice Address: | 915 Nobles Ferry Rd Live Oak, FL - 320648463 |
Business Phone Number: | 3863641751 |
Business Fax Number: | 3863641761 |
Mailing Address: | 1150 Us Highway 41 Nw, Suite 11 & 12 JASPER |
State: | FL |
Postal Code: | 320525888 |
Phone Number: | 3867927744 |
Fax Number: | 3867927745 |
NPI Enumeration Date: | 06/09/2007 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND5728 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |