Provider Demographics
NPI:1922275700
Name:PETERS, LINDSEY ANNE
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANNE
Last Name:PETERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8930 OCEAN DR
Mailing Address - Street 2:HANGAR 41
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78419-5201
Mailing Address - Country:US
Mailing Address - Phone:361-939-6249
Mailing Address - Fax:361-939-6207
Practice Address - Street 1:8930 OCEAN DR
Practice Address - Street 2:HANGAR 41
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419-5201
Practice Address - Country:US
Practice Address - Phone:361-939-6249
Practice Address - Fax:361-939-6207
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2015-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other