Provider Demographics
NPI:1619639564
Name:SIMAR, LINDSEY (LOTR)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:SIMAR
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-3337
Mailing Address - Country:US
Mailing Address - Phone:337-466-0388
Mailing Address - Fax:337-231-0230
Practice Address - Street 1:241 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3337
Practice Address - Country:US
Practice Address - Phone:337-466-0388
Practice Address - Fax:337-231-0230
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA327310225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist