NPI 1104277565

Lynn Nicholas

Practitioner Registered Dietitian Bala Cynwyd, PA

Practice location

Address: 150 Monument Rd STE 207, Bala Cynwyd, PA 19004-1702
Phone: (800) 203-8657

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DN005482 (PA)

Other Dietitian, Registered providers in Pennsylvania →

Registry record

NPI: 1104277565
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2016
Record last updated: 28 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.