Provider Demographics
NPI:1891976312
Name:LINDLEY, JOETTE (LMT)
Entity Type:Individual
Prefix:
First Name:JOETTE
Middle Name:
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 REGAL DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-5542
Mailing Address - Country:US
Mailing Address - Phone:813-949-1580
Mailing Address - Fax:
Practice Address - Street 1:2418 REGAL DR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-5542
Practice Address - Country:US
Practice Address - Phone:813-949-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0009699174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist