Provider Demographics
NPI:1639607260
Name:MOLINA, LINDSAY L (LMT)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:L
Last Name:MOLINA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OLD QUARRY LN
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:ME
Mailing Address - Zip Code:04084-5791
Mailing Address - Country:US
Mailing Address - Phone:207-505-5042
Mailing Address - Fax:
Practice Address - Street 1:17 ASH ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-3452
Practice Address - Country:US
Practice Address - Phone:207-505-5042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT5285225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist