Provider Demographics
NPI:1952914137
Name:BONNEAU, LINDSEY TAYLOR (RDN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:TAYLOR
Last Name:BONNEAU
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 1:518 CLIFTON RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1342
Mailing Address - Country:US
Mailing Address - Phone:412-330-9934
Mailing Address - Fax:
Practice Address - Street 1:518 CLIFTON RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1342
Practice Address - Country:US
Practice Address - Phone:412-330-9934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered