Healthcare Provider Details

I. General information

NPI: 1427974963
Provider Name (Legal Business Name): LINDSAY SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5277 TOWBRIDGE DR
HUDSON OH
44236-2613
US

IV. Provider business mailing address

PO BOX 224
HUDSON OH
44236-0224
US

V. Phone/Fax

Practice location:
  • Phone: 330-714-7719
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: