Provider Demographics
NPI:1639542236
Name:LINDSEY, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3929 MIRA LINDA PT
Mailing Address - Street 2:APT 1424
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-6904
Mailing Address - Country:US
Mailing Address - Phone:720-355-5235
Mailing Address - Fax:
Practice Address - Street 1:3929 MIRA LINDA PT
Practice Address - Street 2:APT 1424
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-6904
Practice Address - Country:US
Practice Address - Phone:720-355-5235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000388224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant