Individual
LYNN W NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(610) 891-3490
(610) 891-3493
Mailing address
P.O. BOX 821807, PHILADELPHIA, PA 19182-1807
(610) 891-3490
(610) 891-3493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001640
PA
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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