Provider Demographics
NPI:1932328622
Name:STEPHEN F LINDSAY MD INC
Entity Type:Organization
Organization Name:STEPHEN F LINDSAY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VASCULAR SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:FORSYTH
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-574-7176
Mailing Address - Street 1:447 OLD NEWPORT BLVD
Mailing Address - Street 2:#210
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4257
Mailing Address - Country:US
Mailing Address - Phone:949-574-7176
Mailing Address - Fax:949-574-7180
Practice Address - Street 1:447 OLD NEWPORT BLVD
Practice Address - Street 2:#210
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4257
Practice Address - Country:US
Practice Address - Phone:949-574-7176
Practice Address - Fax:949-574-7180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA255442086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty