Provider Demographics
NPI:1679858047
Name:LINDSEY, CHARLES RAY
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:RAY
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6943 STONEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-5550
Mailing Address - Country:US
Mailing Address - Phone:225-270-1308
Mailing Address - Fax:225-774-2999
Practice Address - Street 1:6943 STONEVIEW AVE
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-5550
Practice Address - Country:US
Practice Address - Phone:225-270-1308
Practice Address - Fax:225-774-2999
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)