Provider Demographics
NPI:1033997440
Name:OLIVER, LINDSAY ALESIA
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALESIA
Last Name:OLIVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ALESIA
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:SC
Mailing Address - Zip Code:29697-1925
Mailing Address - Country:US
Mailing Address - Phone:864-847-6020
Mailing Address - Fax:864-847-6007
Practice Address - Street 1:26 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:SC
Practice Address - Zip Code:29697-1925
Practice Address - Country:US
Practice Address - Phone:864-847-6020
Practice Address - Fax:864-847-6007
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other