MEDICARE: LINDSAY KRUPP 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
1	133V00000X	Registered Dietitian	973995	CO

General Provider Information

NPI Number	:	1902749484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY KRUPP RD

Provider Business Mailing Address
First Line	:	3890 E EASTER PL
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-2037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3890 E EASTER PL
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-2037
Country	:	US
Telephone Number	:	720-231-7393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ LINDSAY KRUPP RD” Practice Location

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