Provider Demographics
NPI:1902126360
Name:STENOVEC, LINDSAY EK (RD)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:EK
Last Name:STENOVEC
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:EK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, CLEC
Mailing Address - Street 1:16885 W BERNARDO DR STE 121
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-1619
Mailing Address - Country:US
Mailing Address - Phone:619-797-5838
Mailing Address - Fax:
Practice Address - Street 1:16885 W BERNARDO DR STE 121
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1619
Practice Address - Country:US
Practice Address - Phone:619-797-5838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1007650133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered