Provider Demographics
NPI:1689711483
Name:LINDLEY, LAURA KAY (LVN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:KAY
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 238
Mailing Address - Street 2:PO BOX 238
Mailing Address - City:MERTZON
Mailing Address - State:TX
Mailing Address - Zip Code:76941-0238
Mailing Address - Country:US
Mailing Address - Phone:325-835-7010
Mailing Address - Fax:325-835-7010
Practice Address - Street 1:220 W TWOHIG AVE
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6476
Practice Address - Country:US
Practice Address - Phone:325-835-7010
Practice Address - Fax:325-835-7010
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX156035164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156035OtherLVN