Provider Demographics
NPI:1255976361
Name:BECK, LINDSAY CHRISTINE (RD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:CHRISTINE
Last Name:BECK
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9816 WOODWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-1050
Mailing Address - Country:US
Mailing Address - Phone:415-637-1404
Mailing Address - Fax:
Practice Address - Street 1:9816 WOODWORTH AVE
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-1050
Practice Address - Country:US
Practice Address - Phone:415-637-1404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered