Provider Demographics
NPI:1144599200
Name:HITT, LINDSEY
Entity Type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:
Last Name:HITT
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 1:3396 BECKA DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-8037
Mailing Address - Country:US
Mailing Address - Phone:775-392-2611
Mailing Address - Fax:
Practice Address - Street 1:2560 BUSINESS PKWY
Practice Address - Street 2:#B
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-8985
Practice Address - Country:US
Practice Address - Phone:775-392-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner