Provider Demographics
NPI:1376985457
Name:ALTIERI-NEED, LYNN (NUTRITIONIST)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:ALTIERI-NEED
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 SIERRA MANOR ROAD
Mailing Address - Street 2:SUITE B3
Mailing Address - City:MAMMOTH LAKES
Mailing Address - State:CA
Mailing Address - Zip Code:93546-1603
Mailing Address - Country:US
Mailing Address - Phone:760-709-6757
Mailing Address - Fax:866-690-4277
Practice Address - Street 1:24 KNOB HILL LANE
Practice Address - Street 2:SUITE B3
Practice Address - City:MAMMOTH LAKES
Practice Address - State:CA
Practice Address - Zip Code:93546-1603
Practice Address - Country:US
Practice Address - Phone:760-709-6757
Practice Address - Fax:866-690-4277
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist