Provider Demographics
NPI:1831879808
Name:MONTALBANO, LINDSAY (RD, LD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:MONTALBANO
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 PIONEER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-6566
Mailing Address - Country:US
Mailing Address - Phone:504-648-7987
Mailing Address - Fax:
Practice Address - Street 1:1218 PIONEER DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-6566
Practice Address - Country:US
Practice Address - Phone:504-648-7987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86099540133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered