Provider Demographics
NPI:1588001390
Name:SPOTTS, LINDSAY ERIN (MS RD LD/N)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ERIN
Last Name:SPOTTS
Suffix:
Gender:F
Credentials:MS RD LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14763 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-4811
Mailing Address - Country:US
Mailing Address - Phone:727-459-4158
Mailing Address - Fax:
Practice Address - Street 1:14763 SUNSET DRIVE
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774
Practice Address - Country:US
Practice Address - Phone:727-459-4158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND5608133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered