Provider Demographics
NPI:1821270299
Name:SLOTT, LINDSEY MARIE SEIGLE (LAC, DACM)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MARIE SEIGLE
Last Name:SLOTT
Suffix:
Gender:F
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PAPA CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-4016
Mailing Address - Country:US
Mailing Address - Phone:781-879-4503
Mailing Address - Fax:
Practice Address - Street 1:1275 ROUTE 35 STE 6
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2000
Practice Address - Country:US
Practice Address - Phone:732-739-3345
Practice Address - Fax:732-739-3376
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00077300171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist