# LUCINDA LYNN EARLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588065429
- **Authorized official:** LUCINDA LYNN EARLE MPH, RDN (REGISTERED DIETITITAN NUTRITIONIST)
- **Authorized official phone:** (757) 623-9014

## Contact information

- **Practice address:** 260 GRAYSON RD, VIRGINIA BEACH, VA 23462-4345
- **Practice address phone:** (757) 623-9014
- **Mailing address:** 629 VIRGINIA AVE, NORFOLK, VA 23508-2945
- **Mailing address phone:** (757) 623-9014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2014
- **Last updated:** 09/10/2014