Doctor Name: | LYNN W NICHOLS |
NPI Number: | 1194919746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LDN |
License Number: | DN001640 |
Business Practice Address: | 1068 W Baltimore Pike Media, PA - 190635104 |
Business Phone Number: | 6108913490 |
Business Fax Number: | 6108913493 |
Mailing Address: | P.o. Box 821807, PHILADELPHIA |
State: | PA |
Postal Code: | 191821807 |
Phone Number: | 6108913490 |
Fax Number: | 6108913493 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 08/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN001640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |