Provider Demographics
NPI:1225388234
Name:HUNTER, LINDSEY (MA, RDN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MA, RDN
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3924 STETSON CIR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215-1028
Mailing Address - Country:US
Mailing Address - Phone:315-882-1169
Mailing Address - Fax:
Practice Address - Street 1:3924 STETSON CIR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-1028
Practice Address - Country:US
Practice Address - Phone:315-882-1169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00978611133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered