Provider Demographics
NPI:1033728738
Name:MURRAY, LINDSEY ALEXANDRIA
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ALEXANDRIA
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 PALLISERS TER
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-7706
Mailing Address - Country:US
Mailing Address - Phone:704-995-6060
Mailing Address - Fax:
Practice Address - Street 1:1617 ONSLOW DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-3567
Practice Address - Country:US
Practice Address - Phone:704-931-8022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13369225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist