Basic Information
| Provider Information | |||||||||
| NPI: | 1043641004 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GRAY | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | FRENCH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS, RD, LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1794 OAK HILL RD | ||||||||
| Address2: | |||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381382555 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9014896912 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2100 EXETER RD | ||||||||
| Address2: | |||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381383966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017571350 | ||||||||
| FaxNumber: | 9017573496 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/02/2013 | ||||||||
| LastUpdateDate: | 08/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133N00000X | 2611 | TN | N | Dietary & Nutritional Service Providers | Nutritionist | 133V00000X | 2611 | TN | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.