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NPI Code Detail

MEDICARE: LINDSAY WALSH MS, RD, LDN, IBCLC

MEDICARE:   LINDSAY  WALSH  MS, RD, LDN, IBCLC
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
1133VN1004XPediatric Nutrition Registered Dietitian2689TN
2174N00000XLactation Consultant (Non-RN)L-320710TN

General Provider Information

NPI Number : 1962030544
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY WALSH MS, RD, LDN, IBCLC
Provider Business Mailing Address
First Line : 50 N DUNLAP ST LBBY LEVEL
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2800
Country : US
Telephone Number : 901-287-5152
Fax Number :
Provider Business Practice Location Address
First Line : 848 ADAMS AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2816
Country : US
Telephone Number : 901-287-5252
Fax Number : 901-287-5123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 01/23/2026

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