Provider Demographics
NPI:1073753802
Name:KURZAWA, LYNN ERIN (RD, CD-N)
Entity Type:Individual
Prefix:MISS
First Name:LYNN
Middle Name:ERIN
Last Name:KURZAWA
Suffix:
Gender:F
Credentials:RD, CD-N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31A ENSIGN DRIVE
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001
Mailing Address - Country:US
Mailing Address - Phone:860-409-9125
Mailing Address - Fax:860-674-8031
Practice Address - Street 1:31A ENSIGN DRIVE
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001
Practice Address - Country:US
Practice Address - Phone:860-409-9125
Practice Address - Fax:860-674-8031
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001044133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered