Provider Demographics
NPI:1912442682
Name:MCCOY, LINDSEY THURMES (MS, RD, CSSD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:THURMES
Last Name:MCCOY
Suffix:
Gender:F
Credentials:MS, RD, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 DELL RANGE BLVD STE 282
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-4983
Mailing Address - Country:US
Mailing Address - Phone:720-891-1960
Mailing Address - Fax:
Practice Address - Street 1:2232 DELL RANGE BLVD STE 282
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009
Practice Address - Country:US
Practice Address - Phone:720-891-1960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY283133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered