Lynita D Mason, RDG
Individual provider Active NPI Registered Dietitian · Ivor, VA
NPI 1720319932 · NPPES record last updated Jan 28, 2010
Key facts
- NPI
- 1720319932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 0402202259 (VA)
- Practice address
- 8575 Ivor Road
Ivor, VA 23866 - Phone
- (757) 859-6161
- Fax
- (757) 859-6452
- NPI assigned
- Jan 28, 2010
- 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 |
|---|---|---|---|
| 0402202259 | VA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0402202259 | VA | Yes |
Addresses
Primary practice location
8575 Ivor Road
Ivor, VA 23866
Mailing address
8575 Ivor Road
Ivor, VA 23866
Phone (757) 859-6161
Other providers in Ivor, VA
- Stevie Ervil
- Martha Pruitt Holdsworth
- Horizon Health Services Inc
- Horizon Health Services Inc
- Horizon Health Services, Inc.
- Allen McDuffie
- Samantha Parker
- Evelyn Reid
- William Lloyd Reid Jr.
- Leslee Rogerson
All providers in Ivor, VA · Registered Dietitian in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2010. 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.