Provider Demographics
NPI:1396371308
Name:CHRISTENSEN, LINDSAY (CNS, LDN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11126 WALLACE AVE
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-4627
Mailing Address - Country:US
Mailing Address - Phone:630-329-1635
Mailing Address - Fax:
Practice Address - Street 1:5655 S YOSEMITE ST STE 350
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3222
Practice Address - Country:US
Practice Address - Phone:630-329-1635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-21
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17889133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist