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Individual

MS. JUDITH ELAINE LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, PA

Contact information

Practice address
915 NOBLES FERRY RD, LIVE OAK, FL 32064-8463
(386) 364-1751
(386) 364-1761
Mailing address
1150 US HIGHWAY 41 NW, SUITE 11 & 12, JASPER, FL 32052-5888
(386) 792-7744
(386) 792-7745

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND5728
FL
363A00000X
Physician Assistant
Primary
9105408
FL

Other

Enumeration date
06/09/2007
Last updated
06/18/2014
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