Patricia G Lynch, R.D.
Individual provider Active NPI Registered Dietitian · Old Lyme, CT
NPI 1225319155 · NPPES record last updated Sep 6, 2011
Key facts
- NPI
- 1225319155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 000928 (CT)
- Practice address
- 19 Halls Rd Ste 204
Old Lyme, CT 06371-1457 - Phone
- (186) 043-4552
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000928 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000928 | CT | Yes |
Addresses
Primary practice location
19 Halls Rd Ste 204
Old Lyme, CT 06371-1457
Mailing address
19 Halls Rd Ste 204
Old Lyme, CT 06371-1457
Phone (186) 043-4552
Other providers in Old Lyme, CT
- Amy C Lequire
- Brenda L Lewis
- Julie Ann Liefeld
- Patricia Lirot
- Lymes' Youth Service Bureau
- Katie Rose Mattox
- Cindy McGrath
- Christina M McLean
- Medop Behavioral Health Associates PC
- Michelle M Gienau, LCSW, LLC
All providers in Old Lyme, CT · Registered Dietitian in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.