Provider Demographics
NPI:1700559952
Name:LNZ NUTRITION LLC
Entity Type:Organization
Organization Name:LNZ NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINZY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:516-350-0848
Mailing Address - Street 1:3 DRIFTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 DRIFTWOOD DR
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-1716
Practice Address - Country:US
Practice Address - Phone:516-350-0848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-25
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty