Doctor Name: | LINDSEY BROST |
NPI Number: | 1578993135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D.N. |
License Number: | 164005996 |
Business Practice Address: | 2001 5th St Suite 51 Silvis, IL - 612822903 |
Business Phone Number: | 3097921507 |
Business Fax Number: | |
Mailing Address: | 405 W Columbia Ave, Apt 2 DAVENPORT |
State: | IA |
Postal Code: | 528031453 |
Phone Number: | 7152960570 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2013 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164005996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |