Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lynn Nutrition LLC

Organization Clinic/Center · NPI 1407578511

Amanda Lynn Nutrition LLC is a Clinic/Center in Lorton, Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9031 Endicott Pl
Lorton, VA 22079-4541
Phone: (815) 321-1555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1407578511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Stathos — Owner · (815) 321-1555
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address9031 Endicott Pl, Lorton, VA 22079-4541