Provider Demographics
NPI:1477193720
Name:HOLT, LINDSAY (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:HOLT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3493 FORESTDALE DR SUITE 101
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8246
Mailing Address - Country:US
Mailing Address - Phone:336-584-4008
Mailing Address - Fax:336-712-4104
Practice Address - Street 1:3493 FORESTDALE DR SUITE 101
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9585
Practice Address - Country:US
Practice Address - Phone:336-584-4008
Practice Address - Fax:336-350-8580
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5144111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor