Healthcare Provider Details

I. General information

NPI: 1235371980
Provider Name (Legal Business Name): LINDSAY T BROWN MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY CAROL THOMPSON

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE RM 3324
TUCSON AZ
85724-0001
US

IV. Provider business mailing address

655 E RIVER RD
TUCSON AZ
85704-5840
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-6077
  • Fax: 520-626-2881
Mailing address:
  • Phone: 520-694-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number926373
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: