Individual
LYNN H SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1545 LANDON AVE, JACKSONVILLE, FL 32207-8671
(904) 737-3232
Mailing address
1016 SEA HAWK DR, PONTE VEDRA BEACH, FL 32082-1646
(904) 608-9133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4588
FL
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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