Individual
LINDSEY N MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86001106
AZ
133VN1004X
Pediatric Nutrition Registered Dietitian
86001106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86001106
COMMISION ON DIETETIC REGISTRATION
AZ
Enumeration date
09/10/2020
Last updated
11/06/2020
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