Organization
LUCINDA LYNN EARLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA LYNN EARLE MPH, RDN (REGISTERED DIETITITAN NUTRITIONIST)
(757) 623-9014
Entity
Organization
Contact information
Practice address
260 GRAYSON RD, VIRGINIA BEACH, VA 23462-4345
(757) 623-9014
Mailing address
629 VIRGINIA AVE, NORFOLK, VA 23508-2945
(757) 623-9014
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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