Provider Demographics
NPI:1487195319
Name:HUCKABEE, LINDSAY T (MIDWIFE)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:T
Last Name:HUCKABEE
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10474 STEEPLECHASE DR
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-4280
Mailing Address - Country:US
Mailing Address - Phone:228-760-4395
Mailing Address - Fax:
Practice Address - Street 1:10474 STEEPLECHASE DR
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-4280
Practice Address - Country:US
Practice Address - Phone:228-760-4395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay