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Organization

LYNN P HILLERY/LIVE WELL WITH LYNN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN P HILLERY RD (OWNER)
(631) 921-1100
Entity
Organization

Contact information

Practice address
76 SOUTHAVEN AVE, STE 2, MEDFORD, NY 11763-3745
(631) 343-2024
(631) 343-2024
Mailing address
25 ANDREA LN, WEST SAYVILLE, NY 11796-1515

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006087-1
NY

Other

Enumeration date
06/07/2010
Last updated
06/07/2010
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