Provider Demographics
NPI:1346401056
Name:SLEMP, LINDSAY LORRAINE (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:LORRAINE
Last Name:SLEMP
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N GERMANTOWN PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-2303
Mailing Address - Country:US
Mailing Address - Phone:901-758-9000
Mailing Address - Fax:901-309-9040
Practice Address - Street 1:750 N GERMANTOWN PKWY
Practice Address - Street 2:108
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-2302
Practice Address - Country:US
Practice Address - Phone:901-758-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2799152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3948004Medicare PIN
OTH000Medicare UPIN