Provider Demographics
NPI:1063821395
Name:WHITE, LINDSEY D (MS, ATC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:D
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6033 MCKINNEY DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3542
Mailing Address - Country:US
Mailing Address - Phone:650-319-5922
Mailing Address - Fax:
Practice Address - Street 1:6033 MCKINNEY DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3542
Practice Address - Country:US
Practice Address - Phone:650-319-5922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer