Individual
MRS. LYNNETTE M BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDA
Contact information
Practice address
1801 AVE PONCE DE LEON, SUITE 412, SAN JUAN, PR 00909-1900
(787) 726-0440
(787) 727-5574
Mailing address
1801 AVE PONCE DE LEON, SUITE 412, SAN JUAN, PR 00909-1900
(787) 726-0440
(787) 727-5574
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1234
PR
Other
Enumeration date
05/05/2006
Last updated
08/06/2007
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