Provider Demographics
NPI:1518505395
Name:HOOD, LINDSAY KATHERINE (AP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:KATHERINE
Last Name:HOOD
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:KATHERINE
Other - Last Name:QUACKENBUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:260 ELVIRA ST
Mailing Address - Street 2:
Mailing Address - City:LAKE HELEN
Mailing Address - State:FL
Mailing Address - Zip Code:32744-3407
Mailing Address - Country:US
Mailing Address - Phone:386-956-2994
Mailing Address - Fax:
Practice Address - Street 1:2445 S VOLUSIA AVE STE C4
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7626
Practice Address - Country:US
Practice Address - Phone:386-960-7788
Practice Address - Fax:407-610-0287
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4114171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist