Provider Demographics
NPI:1598545774
Name:MEEK, LYNNETTE VIOLET (RDN, MS)
Entity Type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:VIOLET
Last Name:MEEK
Suffix:
Gender:F
Credentials:RDN, MS
Other - Prefix:
Other - First Name:LYNNETTE
Other - Middle Name:VIOLET
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:2 WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1233
Mailing Address - Country:US
Mailing Address - Phone:801-550-2662
Mailing Address - Fax:
Practice Address - Street 1:2 WESTWIND DR
Practice Address - Street 2:
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1233
Practice Address - Country:US
Practice Address - Phone:801-550-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN008213133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered