Provider Demographics
NPI:1790650315
Name:LYNCH, WINDSOR FLORENCE (RDN, LD)
Entity type:Individual
Prefix:
First Name:WINDSOR
Middle Name:FLORENCE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:MC CLELLANVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29458-9721
Mailing Address - Country:US
Mailing Address - Phone:843-307-4915
Mailing Address - Fax:
Practice Address - Street 1:141 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:MC CLELLANVILLE
Practice Address - State:SC
Practice Address - Zip Code:29458-9721
Practice Address - Country:US
Practice Address - Phone:843-307-4915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLRD.312133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered