Provider Demographics
NPI:1104845437
Name:LINDSEY, LAWRENCE REX (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:REX
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:WAKE VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75501-5700
Mailing Address - Country:US
Mailing Address - Phone:903-838-5549
Mailing Address - Fax:903-832-2971
Practice Address - Street 1:801 N KINGS HWY
Practice Address - Street 2:
Practice Address - City:WAKE VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75501-5700
Practice Address - Country:US
Practice Address - Phone:903-838-5549
Practice Address - Fax:903-832-2971
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice