Provider Demographics
NPI:1750669289
Name:COSPER, LINDSEY LOUISE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:LOUISE
Last Name:COSPER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S SHIELDS ST
Mailing Address - Street 2:BLDG C-1
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1827
Mailing Address - Country:US
Mailing Address - Phone:970-482-8883
Mailing Address - Fax:970-484-9278
Practice Address - Street 1:2001 S SHIELDS ST
Practice Address - Street 2:BLDG C-1
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1827
Practice Address - Country:US
Practice Address - Phone:970-482-8883
Practice Address - Fax:970-484-9278
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08834122300000X
CO00202081122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist