Provider Demographics
NPI:1780923011
Name:HURD, LINDSEY (MS, RD, LDN, IBCLC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:HURD
Suffix:
Gender:F
Credentials:MS, RD, LDN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5614 LOCKE ST APT 207
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-1972
Mailing Address - Country:US
Mailing Address - Phone:919-801-5445
Mailing Address - Fax:
Practice Address - Street 1:700 MILITARY CUTOFF RD STE 213
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8379
Practice Address - Country:US
Practice Address - Phone:919-801-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-45582174N00000X
NC374J00000X
NCL004007133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula