Provider Demographics
NPI:1528335817
Name:DOWD, LYNN A (MED RD LD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:A
Last Name:DOWD
Suffix:
Gender:F
Credentials:MED RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4533
Mailing Address - Country:US
Mailing Address - Phone:513-675-2720
Mailing Address - Fax:513-772-1232
Practice Address - Street 1:1100 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4533
Practice Address - Country:US
Practice Address - Phone:513-675-2720
Practice Address - Fax:513-772-1232
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH824096133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered