Provider Demographics
NPI:1043616766
Name:WEXLER, LINDSAY (RDN)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:WEXLER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W. 2ND ST.
Mailing Address - Street 2:#235D
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503
Mailing Address - Country:US
Mailing Address - Phone:775-682-8176
Mailing Address - Fax:775-327-2006
Practice Address - Street 1:1664 N. VIRGINIA ST.
Practice Address - Street 2:MS 153 NUTRITION DEPT
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557
Practice Address - Country:US
Practice Address - Phone:775-784-4474
Practice Address - Fax:775-784-4468
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
NV36833DI-0133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered