Lynda Flavia Lawrence, RDN | |
511 Congress St, Portland, ME 04101-3482 | |
(650) 248-4863 | |
(207) 387-7147 |
Full Name | Lynda Flavia Lawrence |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 511 Congress St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003528332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | DI1928 (Maine) | Primary |
Provider Name | Gut Glow Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447026125 PECOS PAC ID: 5395181820 Enrollment ID: O20240307000136 |
Mailing Address | Practice Location Address |
---|---|
Lynda Flavia Lawrence, RDN 635 W 170th St Apt 2e, New York, NY 10032-3226 Ph: (650) 248-4863 | Lynda Flavia Lawrence, RDN 511 Congress St, Portland, ME 04101-3482 Ph: (650) 248-4863 |
Tegan Swift, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4238 | |
Kassi Marie Swallow, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1577 Congress St, Portland, ME 04102 Phone: 207-662-1622 | |
Mary B Mchugh, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3604 | |
Gail E Valente, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 616 Forest Ave, Portland, ME 04101 Phone: 207-771-1753 | |
Amy Baker Joyce, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 135 Lester Dr, Portland, ME 04103 Phone: 240-381-6716 | |
Alexandra Mccoll Marcotte Fierros, MS, RDN, CSP, LD Dietitian Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 072-662-2349 |