Provider Demographics
NPI:1922761931
Name:LINDSAY DIETETIC SERVICES INCORPORATED
Entity Type:Organization
Organization Name:LINDSAY DIETETIC SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:559-578-8500
Mailing Address - Street 1:755 N PEACH AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-7248
Mailing Address - Country:US
Mailing Address - Phone:559-321-7836
Mailing Address - Fax:559-795-5261
Practice Address - Street 1:755 N PEACH AVE STE A1
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-7248
Practice Address - Country:US
Practice Address - Phone:559-321-7836
Practice Address - Fax:559-795-5261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-17
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty