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NPI Code Detail

MEDICARE: LYNDSAY CHAMIZO RD

MEDICARE:   LYNDSAY  CHAMIZO  RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86000164NV

General Provider Information

NPI Number : 1699210138
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSAY CHAMIZO RD
Provider Business Mailing Address
First Line : 975 KIRMAN AVE
Second Line :
City : RENO
State : NV
Zip : 89502-0993
Country : US
Telephone Number : 702-786-7200
Fax Number :
Provider Business Practice Location Address
First Line : 6900 N PECOS RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086-4400
Country : US
Telephone Number : 702-791-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 04/13/2026

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Directions to “ LYNDSAY CHAMIZO RD” Practice Location

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