Provider Demographics
NPI:1851787535
Name:LINDSEY, MEGAN CATHERINE (LAC, DIPLOM)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:CATHERINE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4542 RUFFNER ST STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2238
Mailing Address - Country:US
Mailing Address - Phone:858-576-7243
Mailing Address - Fax:858-576-1009
Practice Address - Street 1:4542 RUFFNER ST STE 130
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111
Practice Address - Country:US
Practice Address - Phone:858-576-7243
Practice Address - Fax:858-576-1009
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16524171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist