Provider Demographics
NPI:1407629157
Name:KRING, LINDSEY
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LILYANN
Other - Middle Name:
Other - Last Name:LAURENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:805 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:ROARING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:16673-1908
Mailing Address - Country:US
Mailing Address - Phone:814-283-5605
Mailing Address - Fax:
Practice Address - Street 1:805 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:ROARING SPRING
Practice Address - State:PA
Practice Address - Zip Code:16673-1908
Practice Address - Country:US
Practice Address - Phone:814-283-5605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach