Provider Demographics
NPI:1922510544
Name:LINDSEY, STACY AMANDA (DO)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:AMANDA
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 W 148TH AVE UNIT 4402
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9512
Mailing Address - Country:US
Mailing Address - Phone:720-227-4173
Mailing Address - Fax:
Practice Address - Street 1:750 W 148TH AVE UNIT 4402
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9512
Practice Address - Country:US
Practice Address - Phone:720-227-4173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-05
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS152182084P0800X
CODR.00677632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry