Provider Demographics
NPI:1265851810
Name:TROTTIER, LINDSAY LINDSAY (LAC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LINDSAY
Last Name:TROTTIER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:LOUISE
Other - Last Name:PUCKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:10225 AUSTIN DR STE 108
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-1521
Mailing Address - Country:US
Mailing Address - Phone:619-719-1768
Mailing Address - Fax:
Practice Address - Street 1:10225 AUSTIN DR STE 108
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-1521
Practice Address - Country:US
Practice Address - Phone:619-719-1768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15891171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist