Provider Demographics
NPI:1710373105
Name:RICHARDS, LINDSEY E (MD)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:E
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:E
Other - Last Name:BRISTOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 RANCH ROAD 620 S STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5304
Mailing Address - Country:US
Mailing Address - Phone:512-610-0549
Mailing Address - Fax:512-666-3744
Practice Address - Street 1:401 RANCH ROAD 620 S STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5304
Practice Address - Country:US
Practice Address - Phone:512-610-0549
Practice Address - Fax:512-666-3744
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3056207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology