Individual
LYNN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MONUMENT RD, STE 207, BALA CYNWYD, PA 19004-1702
(800) 203-8657
Mailing address
150 MONUMENT RD, STE 207, BALA CYNWYD, PA 19004-1702
(800) 203-8657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005482
PA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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