Provider Demographics
NPI:1144482639
Name:THOMAS, LINDSAY ANNE (RD, LD, CDE)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANNE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 YANKEE DOODLE RD
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2092
Mailing Address - Country:US
Mailing Address - Phone:612-262-4317
Mailing Address - Fax:612-262-4317
Practice Address - Street 1:1110 YANKEE DOODLE RD
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-2092
Practice Address - Country:US
Practice Address - Phone:612-262-4317
Practice Address - Fax:612-262-4317
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2035133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered