Provider Demographics
NPI:1417732157
Name:SPOOR, LINDSEY LEE (RN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LEE
Last Name:SPOOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-3514
Mailing Address - Country:US
Mailing Address - Phone:508-965-5203
Mailing Address - Fax:
Practice Address - Street 1:75 PARK ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2811
Practice Address - Country:US
Practice Address - Phone:508-965-5203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2300170163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse