Provider Demographics
NPI:1720550411
Name:SQUIBB, LINDSEY (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:SQUIBB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 DOLOMITE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-2207
Mailing Address - Country:US
Mailing Address - Phone:510-736-5730
Mailing Address - Fax:
Practice Address - Street 1:12 N BROADWAY # 224
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3915
Practice Address - Country:US
Practice Address - Phone:510-736-5730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor