Provider Demographics
NPI:1659832939
Name:RENE LINDEEN LLC
Entity Type:Organization
Organization Name:RENE LINDEEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-670-3439
Mailing Address - Street 1:1215 24TH ST W STE 130
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3895
Mailing Address - Country:US
Mailing Address - Phone:406-670-3439
Mailing Address - Fax:
Practice Address - Street 1:1215 24TH ST W STE 130
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3895
Practice Address - Country:US
Practice Address - Phone:406-670-3439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty