Provider Demographics
NPI:1215553011
Name:BOMPIANI, LINDSAY (RD)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:BOMPIANI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 CHANTICLEER CIR
Mailing Address - Street 2:
Mailing Address - City:NEW STANTON
Mailing Address - State:PA
Mailing Address - Zip Code:15672-9478
Mailing Address - Country:US
Mailing Address - Phone:724-217-5251
Mailing Address - Fax:
Practice Address - Street 1:221 CHANTICLEER CIR
Practice Address - Street 2:
Practice Address - City:NEW STANTON
Practice Address - State:PA
Practice Address - Zip Code:15672-9478
Practice Address - Country:US
Practice Address - Phone:724-217-5251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered