Provider Demographics
NPI:1376157339
Name:FISHER, LINDSAY RENAY
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:RENAY
Last Name:FISHER
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 1:411 COVENTRY CT
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-6500
Mailing Address - Country:US
Mailing Address - Phone:832-265-3440
Mailing Address - Fax:
Practice Address - Street 1:5627 LAUREL CREEK WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6838
Practice Address - Country:US
Practice Address - Phone:832-265-3440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-06
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider