Provider Demographics
NPI:1912365768
Name:RONSHAGEN, LINDSAY (ND)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:RONSHAGEN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 CROWN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2705
Mailing Address - Country:US
Mailing Address - Phone:203-780-1295
Mailing Address - Fax:203-774-1015
Practice Address - Street 1:216 CROWN ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2705
Practice Address - Country:US
Practice Address - Phone:203-780-1295
Practice Address - Fax:203-774-1015
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT559175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath