Doctor Name: | LYNN A. VICTORY |
NPI Number: | 1568790335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, R.D, L.D, LPC |
License Number: | 415 |
Business Practice Address: | 710 Pettigru Street The Cottage Greenville, SC - 29601 |
Business Phone Number: | 8646311035 |
Business Fax Number: | 8646311067 |
Mailing Address: | 710 Pettigru Street, GREENVILLE |
State: | SC |
Postal Code: | 29601 |
Phone Number: | 8646311035 |
Fax Number: | 8646311067 |
NPI Enumeration Date: | 12/06/2009 |
NPI Last Update Date: | 01/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 415 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |