Provider Demographics
NPI:1881266419
Name:LAHR, LINDSEY (RDN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:LAHR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 W STRAFORD AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-4716
Mailing Address - Country:US
Mailing Address - Phone:612-396-9672
Mailing Address - Fax:
Practice Address - Street 1:1850 S SANTAN VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-8523
Practice Address - Country:US
Practice Address - Phone:623-269-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN860915319OtherREGISTERED DIETITIAN