Provider Demographics
NPI:1275424509
Name:ECKENWILER, LINDSAY M (RDN, LD)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:M
Last Name:ECKENWILER
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8186 US HIGHWAY 224
Mailing Address - Street 2:
Mailing Address - City:NEW RIEGEL
Mailing Address - State:OH
Mailing Address - Zip Code:44853-9729
Mailing Address - Country:US
Mailing Address - Phone:419-543-2141
Mailing Address - Fax:
Practice Address - Street 1:8186 US HIGHWAY 224
Practice Address - Street 2:
Practice Address - City:NEW RIEGEL
Practice Address - State:OH
Practice Address - Zip Code:44853-9729
Practice Address - Country:US
Practice Address - Phone:419-543-2141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.10791133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered