Provider Demographics
NPI:1669501169
Name:LEVY, LINDSAY A (DC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:LEVY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97840 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2229
Mailing Address - Country:US
Mailing Address - Phone:305-852-3232
Mailing Address - Fax:305-852-3281
Practice Address - Street 1:97840 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2229
Practice Address - Country:US
Practice Address - Phone:305-852-3232
Practice Address - Fax:305-852-3281
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22937BMedicare ID - Type UnspecifiedPROVIDER NUMBER