NPI 1275424020 · live from the CMS NPI Registry
Lindsay Beresh
Dietitian, Registered in Royal Oak, MI. National Provider Identifier 1275424020, active.
NPI record
| NPI | 1275424020 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3601 W 13 Mile Rd, Royal Oak, MI 48073 |
| Practice phone | 248-551-0948 |
| Mailing address | 31605 Mayfair Ln, Beverly Hills, MI 48025 |
| Enumerated | July 10, 2025 |
| Last updated | July 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.