Provider Demographics
NPI:1437280757
Name:LINDSELL, ERIC LAURENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LAURENCE
Last Name:LINDSELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11737 STONEGATE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4364
Mailing Address - Country:US
Mailing Address - Phone:410-997-9545
Mailing Address - Fax:
Practice Address - Street 1:7270 CRADLEROCK WAY STE 1
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5045
Practice Address - Country:US
Practice Address - Phone:410-312-7790
Practice Address - Fax:410-312-7791
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD133P337GMedicare ID - Type Unspecified
MD133PMedicare ID - Type Unspecified