Provider Demographics
NPI:1972318806
Name:YOUR NUTRITION UNDER A LYNNS
Entity type:Organization
Organization Name:YOUR NUTRITION UNDER A LYNNS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:AYANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:240-850-5875
Mailing Address - Street 1:8860 PINEY BRANCH RD APT 1207
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-3541
Mailing Address - Country:US
Mailing Address - Phone:240-850-5875
Mailing Address - Fax:
Practice Address - Street 1:8860 PINEY BRANCH RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-3547
Practice Address - Country:US
Practice Address - Phone:240-850-5875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service