Provider Demographics
NPI:1518304856
Name:MARTIAN, LINDSAY VICTORIA (RD, LMNT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:VICTORIA
Last Name:MARTIAN
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10808 FORT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2076
Mailing Address - Country:US
Mailing Address - Phone:402-493-2089
Mailing Address - Fax:
Practice Address - Street 1:10808 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2076
Practice Address - Country:US
Practice Address - Phone:402-493-2089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered