Provider Demographics
NPI:1407231863
Name:JUN, LINDSEY JAYNE (MS, CNS, LDN, FDN-P)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:JAYNE
Last Name:JUN
Suffix:
Gender:F
Credentials:MS, CNS, LDN, FDN-P
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:JAYNE
Other - Last Name:LEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CNS, LDN, FDN-P
Mailing Address - Street 1:10787 DORCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:MD
Mailing Address - Zip Code:21163-1468
Mailing Address - Country:US
Mailing Address - Phone:610-413-2395
Mailing Address - Fax:
Practice Address - Street 1:10787 DORCHESTER WAY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:MD
Practice Address - Zip Code:21163-1468
Practice Address - Country:US
Practice Address - Phone:610-413-2395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3759133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist