Provider Demographics
NPI:1043584675
Name:SCHMITZ, LINDSAY RECTENWALD (RD LDN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RECTENWALD
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 TECHNOLOGY DR STE 116
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9513
Mailing Address - Country:US
Mailing Address - Phone:412-407-2324
Mailing Address - Fax:
Practice Address - Street 1:1820 MCLAUGHLIN RUN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2398
Practice Address - Country:US
Practice Address - Phone:412-221-1099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA925806133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102872515-0002Medicaid