Provider Demographics
NPI:1053921247
Name:MCCUE, LINDSAY (CHHC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:MCCUE
Suffix:
Gender:F
Credentials:CHHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10530 BLOCKADE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5266
Mailing Address - Country:US
Mailing Address - Phone:775-505-4917
Mailing Address - Fax:
Practice Address - Street 1:1005 TERMINAL WAY STE 220
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2186
Practice Address - Country:US
Practice Address - Phone:775-505-4917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist