Individual
MRS. LYNETTE MARIE REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4363
(716) 278-4266
Mailing address
432 BERRYMAN DR, SNYDER, NY 14226-4640
(716) 834-1221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
915468
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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