Organization
CHANGES FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN HOLMBERG M.S., R.D., C.D.N. (REGISTERED DIETITIAN)
(203) 532-5053
Entity
Organization
Contact information
Practice address
148 EAST AVE, SUITE 3A, NORWALK, CT 06851-5721
(203) 532-5053
(203) 532-5053
Mailing address
6 ELLIN DR, GREENWICH, CT 06831-4976
(203) 532-5053
(203) 532-5053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000762
CT
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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