Provider Demographics
NPI:1952189441
Name:GLENN, LINDSEY INEZ (MS RD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:INEZ
Last Name:GLENN
Suffix:
Gender:F
Credentials:MS RD
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Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3900 BROWNING PL STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6529
Practice Address - Country:US
Practice Address - Phone:919-781-9650
Practice Address - Fax:919-781-3572
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2024-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCL007535133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered