Provider Demographics
NPI:1497088942
Name:LINDSEY, LEE L (HAD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:L
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 N DIXIE WAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46637-3385
Mailing Address - Country:US
Mailing Address - Phone:574-968-4880
Mailing Address - Fax:574-968-4883
Practice Address - Street 1:227 N DIXIE WAY
Practice Address - Street 2:SUITE 110
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46637-3385
Practice Address - Country:US
Practice Address - Phone:574-968-4880
Practice Address - Fax:574-968-4883
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001325A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist