Provider Demographics
NPI:1548618069
Name:LINDSLEY AND ASSOCIATES
Entity Type:Organization
Organization Name:LINDSLEY AND ASSOCIATES
Other - Org Name:ZOI PHARMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:LINDSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:360-903-1508
Mailing Address - Street 1:PO BOX 1264
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-0015
Mailing Address - Country:US
Mailing Address - Phone:360-903-1508
Mailing Address - Fax:360-326-1621
Practice Address - Street 1:1620 S TAVERNER DR
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-7802
Practice Address - Country:US
Practice Address - Phone:360-903-1508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00001197332B00000X, 332BP3500X, 335G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335G00000XSuppliersMedical Foods Supplier