Individual
LYNN E DIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD CDE
Contact information
Practice address
1850 E PARK AVE, STE 312, STATE COLLEGE, PA 16803-6706
(814) 689-3156
(814) 689-1954
Mailing address
1850 E PARK AVE, STE 312, STATE COLLEGE, PA 16803-6706
(814) 689-3156
(814) 689-1954
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003719
PA
Other
Enumeration date
10/02/2006
Last updated
10/11/2016
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