Provider Demographics
NPI:1548916521
Name:HOPKINS, LYNZI BROOKE (RDN)
Entity type:Individual
Prefix:MRS
First Name:LYNZI
Middle Name:BROOKE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25231 LA MAR RD APT A
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3020
Mailing Address - Country:US
Mailing Address - Phone:385-389-5634
Mailing Address - Fax:
Practice Address - Street 1:25231 LA MAR RD APT A
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3020
Practice Address - Country:US
Practice Address - Phone:385-389-5634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86277773133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered