Provider Demographics
NPI:1215317359
Name:REMINGTON, LYNN (PHD RDN CDE)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:PHD RDN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 FOSTER DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1211
Mailing Address - Country:US
Mailing Address - Phone:775-247-3981
Mailing Address - Fax:
Practice Address - Street 1:1523 FOSTER DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1211
Practice Address - Country:US
Practice Address - Phone:775-247-3981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV32025DI-1133V00000X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal