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LYNN P HILLERY/LIVE WELL WITH LYNN NPI 1124348610


NPI Information

NPI: 1124348610
Provider Name: LYNN P HILLERY/LIVE WELL WITH LYNN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
76 SOUTHAVEN AVE
STE 2
MEDFORD, NY
ZIP 11763
Phone: (631) 343-2024
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LYNN P HILLERY/LIVE WELL WITH LYNN is a dietitian registered in Medford, NY. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. LYNN P HILLERY/LIVE WELL WITH LYNN NPI is 1124348610. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

76 SOUTHAVEN AVE
STE 2
MEDFORD, NY
ZIP 11763-745
Phone: (631) 343-2024
Fax: (631) 343-2024

The provider's authorized official is Lynn P Hillery .
The authorized official title is Owner and has the following contact phone number (631) 921-1100.

The enumeration date for this NPI number is 6/7/2010 and was last updated on 6/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered006087-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A400021956MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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