Provider Demographics
NPI:1942584859
Name:MUMMA, LINDSAY SAPP (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:SAPP
Last Name:MUMMA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:R
Other - Last Name:SAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2011 FALLS VALLEY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3451
Mailing Address - Country:US
Mailing Address - Phone:919-792-8682
Mailing Address - Fax:919-882-1774
Practice Address - Street 1:2011 FALLS VALLEY DR STE 103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3451
Practice Address - Country:US
Practice Address - Phone:919-792-8682
Practice Address - Fax:919-882-1774
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556924111NR0400X
NC4248111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation