Most Relevant Information
Provider Data
| NPI Number: | 1003528332 |
| Provider Name: | LYNDA FLAVIA LAWRENCE RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2022 |
| Last Updated: | 12/23/2023 |
Provider Practice Location
511 CONGRESS ST
PORTLAND
ME
041013482
Practice Location Phone/Fax
| Phone: | 6502484863 |
| Fax: | 2073877147 |
Provider Mailing Location
635 W 170TH ST APT 2E
NEW YORK
NY
100323226
Provider Mailing Phone/Fax
| Phone: | 6502484863 |
| Fax: |