Provider Demographics
NPI:1104690296
Name:FOSTER, LYNDSEY A (RD)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:A
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HUXTON CT
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460-3400
Mailing Address - Country:US
Mailing Address - Phone:870-295-1685
Mailing Address - Fax:
Practice Address - Street 1:300 HUXTON CT
Practice Address - Street 2:
Practice Address - City:SNEADS FERRY
Practice Address - State:NC
Practice Address - Zip Code:28460-3400
Practice Address - Country:US
Practice Address - Phone:870-295-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL007637133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered