Provider Demographics
NPI:1639514581
Name:CLAYTON, LYNN H (RDN, LDN, CDCES)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:H
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:RDN, LDN, CDCES
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:LYNN
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:2088 CC CAMP RD
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-8371
Mailing Address - Country:US
Mailing Address - Phone:336-355-5756
Mailing Address - Fax:844-335-7607
Practice Address - Street 1:2113 CC CAMP RD
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-8372
Practice Address - Country:US
Practice Address - Phone:336-355-5756
Practice Address - Fax:844-335-7607
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003309133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered