Provider Demographics
NPI:1295573632
Name:HAYES, LYNDSEY (MS, RD, LD, ISAK-1)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:MS, RD, LD, ISAK-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 DRAGO DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-7740
Mailing Address - Country:US
Mailing Address - Phone:570-394-7260
Mailing Address - Fax:
Practice Address - Street 1:1231 DRAGO DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70820-7740
Practice Address - Country:US
Practice Address - Phone:570-394-7260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3592133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered