Provider Demographics
NPI:1467980847
Name:LAMAS, LINDA LEE (RDN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LEE
Last Name:LAMAS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:LEE
Other - Last Name:HALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:855 VIEWTOP CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-8336
Mailing Address - Country:US
Mailing Address - Phone:323-559-9897
Mailing Address - Fax:
Practice Address - Street 1:855 VIEWTOP CIR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-8336
Practice Address - Country:US
Practice Address - Phone:323-559-9897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
835491133N00000X, 133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education