Provider Demographics
NPI:1629840111
Name:LOUTZENHISER, LINDSEY NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:NICOLE
Last Name:LOUTZENHISER
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 1:3030 TALLEDAGA LN SW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-6027
Mailing Address - Country:US
Mailing Address - Phone:574-742-0322
Mailing Address - Fax:
Practice Address - Street 1:4300 NC HIGHWAY 49 S
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7527
Practice Address - Country:US
Practice Address - Phone:704-455-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist