Provider Demographics
NPI:1083445159
Name:FREEDMAAN, LYNN JUDITH (RDN, LDN)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:JUDITH
Last Name:FREEDMAAN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4722
Mailing Address - Country:US
Mailing Address - Phone:847-432-6200
Mailing Address - Fax:
Practice Address - Street 1:1231 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4722
Practice Address - Country:US
Practice Address - Phone:847-432-6200
Practice Address - Fax:847-948-9093
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164000149133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered