Provider Demographics
NPI:1770302085
Name:DENNISON, LINDSAY DANIELLE (RD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DANIELLE
Last Name:DENNISON
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:DANIELLE
Other - Last Name:GRADY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:2413 BRENTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-0301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2413 BRENTWOOD RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-0301
Practice Address - Country:US
Practice Address - Phone:925-348-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered