Provider Demographics
NPI:1730851346
Name:SARAH LYNN NUTRITION PLLC
Entity type:Organization
Organization Name:SARAH LYNN NUTRITION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-401-0590
Mailing Address - Street 1:5100 W GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-2354
Mailing Address - Country:US
Mailing Address - Phone:315-401-0590
Mailing Address - Fax:
Practice Address - Street 1:5100 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-2354
Practice Address - Country:US
Practice Address - Phone:315-401-0590
Practice Address - Fax:877-819-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty