Lynn Nicholas

NPI #1104277565 in Bala Cynwyd, Pennsylvania

Provider Information

NPI Number: 1104277565
Entity Type: Individual
Name: Lynn Nicholas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Jun 28, 2016
Last Updated: Jun 28, 2016

Practice Location

Address: 150 MONUMENT RD
Address 2: STE 207
City: Bala Cynwyd
State: Pennsylvania
ZIP Code: 19004-1702
Phone: (800) 203-8657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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