Provider Demographics
NPI:1396592689
Name:LINDSAY NELSON RDN, LLC
Entity type:Organization
Organization Name:LINDSAY NELSON RDN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-866-3756
Mailing Address - Street 1:1136 HUMMINGBIRD CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-9638
Mailing Address - Country:US
Mailing Address - Phone:816-738-0926
Mailing Address - Fax:
Practice Address - Street 1:1136 HUMMINGBIRD CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MO
Practice Address - Zip Code:64034
Practice Address - Country:US
Practice Address - Phone:816-866-3756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center