Individual
SALLY WALLACE LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CD-N
Contact information
Practice address
11 CRAIGMOOR RD, WEST HARTFORD, CT 06107-1210
(860) 490-3920
Mailing address
11 CRAIGMOOR RD, WEST HARTFORD, CT 06107-1210
(860) 490-3920
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000736
CT
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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