Provider Demographics
NPI:1417447590
Name:LINDAY, LISA MARIE (RD, LN)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:LINDAY
Suffix:
Gender:F
Credentials:RD, LN
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:MARIE
Other - Last Name:BORNHOFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LN
Mailing Address - Street 1:123 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-4227
Mailing Address - Country:US
Mailing Address - Phone:406-247-3350
Mailing Address - Fax:406-247-3389
Practice Address - Street 1:123 S 27TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-4227
Practice Address - Country:US
Practice Address - Phone:406-247-3350
Practice Address - Fax:406-247-3389
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT887200133V00000X
MT435133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered