Provider Demographics
NPI:1780561449
Name:MAULA, LINDSEY (RDN, LDN)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:MAULA
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 LAUREL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BARTONSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18321-7784
Mailing Address - Country:US
Mailing Address - Phone:570-234-8357
Mailing Address - Fax:
Practice Address - Street 1:432 LAUREL LAKE RD.
Practice Address - Street 2:
Practice Address - City:BARTONSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18321
Practice Address - Country:US
Practice Address - Phone:570-234-8357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5704133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered