Provider Demographics
NPI:1376230961
Name:VON THOMAS NUTRITION, PLLC
Entity Type:Organization
Organization Name:VON THOMAS NUTRITION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:VON THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDN
Authorized Official - Phone:716-397-4191
Mailing Address - Street 1:78 SHOREHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-2203
Mailing Address - Country:US
Mailing Address - Phone:716-397-4191
Mailing Address - Fax:716-828-8266
Practice Address - Street 1:78 SHOREHAM PKWY
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-2203
Practice Address - Country:US
Practice Address - Phone:716-397-4191
Practice Address - Fax:716-828-8266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty