Provider Demographics
NPI:1629488713
Name:DUBAS, LINDSEY (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:DUBAS
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 CORONA AVE
Mailing Address - Street 2:PO 1648
Mailing Address - City:PALMER LAKE
Mailing Address - State:CO
Mailing Address - Zip Code:80133
Mailing Address - Country:US
Mailing Address - Phone:785-477-2072
Mailing Address - Fax:
Practice Address - Street 1:431 CORONA AVE
Practice Address - Street 2:
Practice Address - City:PALMER LAKE
Practice Address - State:CO
Practice Address - Zip Code:80133
Practice Address - Country:US
Practice Address - Phone:785-477-2072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered