Provider Demographics
NPI:1932482353
Name:MONTOYA, LINDSEY MICHELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 DILLON DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-2113
Mailing Address - Country:US
Mailing Address - Phone:719-543-8348
Mailing Address - Fax:719-543-5650
Practice Address - Street 1:4200 DILLON DR
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2113
Practice Address - Country:US
Practice Address - Phone:719-543-8348
Practice Address - Fax:719-543-5650
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist