Provider Demographics
NPI:1285306217
Name:SCHMIDT, LEXI Z (NUTRITIONIST)
Entity type:Individual
Prefix:
First Name:LEXI
Middle Name:Z
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 W 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2230
Mailing Address - Country:US
Mailing Address - Phone:571-218-9186
Mailing Address - Fax:
Practice Address - Street 1:1701 W 40TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2230
Practice Address - Country:US
Practice Address - Phone:571-218-9186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty