Provider Demographics
NPI:1447578646
Name:LANKOWSKY, LINDSEY H (MS, RD)
Entity Type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:H
Last Name:LANKOWSKY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6735 FORESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4506
Mailing Address - Country:US
Mailing Address - Phone:248-891-2797
Mailing Address - Fax:
Practice Address - Street 1:33 W ONTARIO ST
Practice Address - Street 2:30A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-7760
Practice Address - Country:US
Practice Address - Phone:248-891-2797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered