Provider Demographics
NPI:1689338428
Name:GAUGLER, LINDSAY (NUTRITION COACH)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:GAUGLER
Suffix:
Gender:F
Credentials:NUTRITION COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13090 WIMBERLY SQ UNIT 57
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4096
Mailing Address - Country:US
Mailing Address - Phone:858-226-3437
Mailing Address - Fax:
Practice Address - Street 1:13090 WIMBERLY SQ UNIT 57
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-4096
Practice Address - Country:US
Practice Address - Phone:858-226-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date: