MEDICARE: LINDSEY MICHAEL MS RDN LLC

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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1669212031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSEY MICHAEL MS RDN LLC

Provider Business Mailing Address
First Line	:	9004 TOBENJAY TRL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9004 TOBENJAY TRL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4592
Country	:	US
Telephone Number	:	214-477-4866
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSEY RAY
Credential	:
Telephone Number	:	214-477-4866

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	04/18/2025

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