Provider Demographics
NPI:1891878831
Name:LINDSEY, KRISTI SUE (FNPC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:SUE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1140 W LA VETA AVE
Mailing Address - Street 2:STE 555
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868
Mailing Address - Country:US
Mailing Address - Phone:714-835-5100
Mailing Address - Fax:714-835-5567
Practice Address - Street 1:1140 W LA VETA AVE
Practice Address - Street 2:STE 555
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:714-835-5100
Practice Address - Fax:714-835-5567
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP11609207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ73747Medicare UPIN
CABC080ZMedicare PIN