Provider Demographics
NPI:1962701615
Name:MARCH, LYNDA DIANE (PHD, RD/LD)
Entity type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:DIANE
Last Name:MARCH
Suffix:
Gender:F
Credentials:PHD, RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 COUNTY ROAD 7530
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-6381
Mailing Address - Country:US
Mailing Address - Phone:806-863-5440
Mailing Address - Fax:806-863-5440
Practice Address - Street 1:3302 COUNTY ROAD 7530
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-6381
Practice Address - Country:US
Practice Address - Phone:806-863-5440
Practice Address - Fax:806-863-5440
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT03022133V00000X
NMLD0626133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered