Provider Demographics
NPI:1396215323
Name:SPINALE, LINDSAY GOODE (RD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:GOODE
Last Name:SPINALE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:GOODE
Other - Last Name:FILICICCHIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:834 MAMMOTH RD. APT 9
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104
Mailing Address - Country:US
Mailing Address - Phone:603-265-0575
Mailing Address - Fax:
Practice Address - Street 1:239 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-224-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0746133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered