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NPI Code Detail

MEDICARE: SARAH LYNN NUTRITION PLLC

MEDICARE: SARAH LYNN NUTRITION PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1730851346
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARAH LYNN NUTRITION PLLC
Provider Business Mailing Address
First Line : 5100 W GENESEE ST
Second Line :
City : CAMILLUS
State : NY
Zip : 13031-2354
Country : US
Telephone Number : 315-401-0590
Fax Number :
Provider Business Practice Location Address
First Line : 5100 W GENESEE ST
Second Line :
City : CAMILLUS
State : NY
Zip : 13031-2354
Country : US
Telephone Number : 315-401-0590
Fax Number : 877-819-2425
Authorized Official
Title or Position : FOUNDER AND CEO
Name : SARAH LYNN QUICK
Credential :
Telephone Number : 315-401-0590
Provider Enumeration Date : 10/01/2021
Last Update Date : 07/08/2024

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