Provider Demographics
NPI:1568247849
Name:HUGHES, LORI LYNN (RDN, CDN)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:LYNN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27705 NE 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-8781
Mailing Address - Country:US
Mailing Address - Phone:360-314-8347
Mailing Address - Fax:
Practice Address - Street 1:27705 NE 10TH AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-8781
Practice Address - Country:US
Practice Address - Phone:360-314-8347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA846650133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered