Provider Demographics
NPI:1699810754
Name:MARSHALL-LINDSEY, TALINA S (LMP)
Entity Type:Individual
Prefix:
First Name:TALINA
Middle Name:S
Last Name:MARSHALL-LINDSEY
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:TALINA
Other - Middle Name:S
Other - Last Name:LINDSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:600 BELLEVUE AVE E
Mailing Address - Street 2:#412
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4769
Mailing Address - Country:US
Mailing Address - Phone:206-251-9729
Mailing Address - Fax:
Practice Address - Street 1:600 BELLEVUE AVE E
Practice Address - Street 2:#412
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4769
Practice Address - Country:US
Practice Address - Phone:206-251-9729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018953171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor