Provider Demographics
NPI:1861361552
Name:STANLEY, LINDSAY ERIN (LE)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ERIN
Last Name:STANLEY
Suffix:
Gender:F
Credentials:LE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17724 RIVERBEND RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1422
Mailing Address - Country:US
Mailing Address - Phone:831-383-8952
Mailing Address - Fax:
Practice Address - Street 1:227 GRAND AVE STE 6
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-3449
Practice Address - Country:US
Practice Address - Phone:831-383-8952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10072174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist