Provider Demographics
NPI:1215162706
Name:SHERMAN-BENNIE, LINDSEY ANN (RD, LDN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANN
Last Name:SHERMAN-BENNIE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 OSPREY LN
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8858
Mailing Address - Country:US
Mailing Address - Phone:717-507-4066
Mailing Address - Fax:
Practice Address - Street 1:263 OSPREY LN
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8858
Practice Address - Country:US
Practice Address - Phone:717-507-4066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004031133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered