Provider Demographics
NPI:1548591449
Name:FUENTES, LINDSEY MICHELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:FUENTES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 N ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-3318
Mailing Address - Country:US
Mailing Address - Phone:317-554-5220
Mailing Address - Fax:
Practice Address - Street 1:2505 N ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-3318
Practice Address - Country:US
Practice Address - Phone:317-554-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-18
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist