Provider Demographics
NPI:1235296542
Name:BENUCCI, LINDSEY CLARE (RD, CNSC)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:CLARE
Last Name:BENUCCI
Suffix:
Gender:F
Credentials:RD, CNSC
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:CLARE
Other - Last Name:HARMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:7391 BRUCE BLVD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-2107
Mailing Address - Country:US
Mailing Address - Phone:804-269-2643
Mailing Address - Fax:
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:NUTRITIONAL SERVICES
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered