Healthcare Provider Details

I. General information

NPI: 1902529050
Provider Name (Legal Business Name): LYNDSEY REECE NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNDSEY SABA

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 MINNESOTA DR
EDINA MN
55435-5417
US

IV. Provider business mailing address

2601 WESTCLIFFE DR
BURNSVILLE MN
55306-6954
US

V. Phone/Fax

Practice location:
  • Phone: 952-456-7000
  • Fax:
Mailing address:
  • Phone: 763-486-0287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3276870
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: