NPIMap

Sandra Louise Lynch, M.S., R.D., L.D.N.

Individual provider Active NPI Registered Dietitian · Myersville, MD

NPI 1194045955 · NPPES record last updated Jun 3, 2010

Key facts

NPI
1194045955
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
D01147 (MD)
Practice address
9305 Baltimore National Pike
Myersville, MD 21773-8143
Phone
(240) 439-9927
Fax
(301) 371-5858
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D01147MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D01147 MD Yes
Health Educator 174H00000X

Addresses

Primary practice location

9305 Baltimore National Pike
Myersville, MD 21773-8143

Mailing address

9305 Baltimore National Pike
Myersville, MD 21773-8143
Phone (240) 439-9927

Other providers in Myersville, MD

All providers in Myersville, MD · Registered Dietitian in Maryland

Sources for this page

Verify at the official NPI Registry.