Organization
LST NUTRITION CONSTULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A LYNCH RD (CEO)
(919) 696-8408
Entity
Organization
Contact information
Practice address
3505 MC ALISTER PL, RALEIGH, NC 27612-3254
(919) 696-8408
Mailing address
3505 MC ALISTER PL, RALEIGH, NC 27612-3254
(919) 696-8408
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
L002786
NC
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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