Provider Demographics
NPI:1730614686
Name:SMITH, LINDSAY POLLINO (RD, LD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:POLLINO
Last Name:SMITH
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 SPRING HILL DR
Mailing Address - Street 2:SUITE 504
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-6027
Mailing Address - Country:US
Mailing Address - Phone:832-640-3323
Mailing Address - Fax:800-879-9016
Practice Address - Street 1:504 SPRING HILL DR
Practice Address - Street 2:SUITE 504
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-6027
Practice Address - Country:US
Practice Address - Phone:832-640-3323
Practice Address - Fax:800-879-9016
Is Sole Proprietor?:No
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82986133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered