Provider Demographics
NPI:1427240407
Name:THOMAS, LYNN STAHLHUT (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:STAHLHUT
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:M
Other - Last Name:STAHLHUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:13916 AUBERRY DR
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3660
Mailing Address - Country:US
Mailing Address - Phone:618-530-6457
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:NUTRITION AND FOOD SERVICE
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.004382133V00000X
OHLD6219133V00000X
TXDT81839133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered