Provider Demographics
NPI:1972004356
Name:LINDSEY, RONALD GUY (LAC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:GUY
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84339-0337
Mailing Address - Country:US
Mailing Address - Phone:801-233-8830
Mailing Address - Fax:
Practice Address - Street 1:8282 S STATE ST STE 12
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-3648
Practice Address - Country:US
Practice Address - Phone:801-233-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4772593-1201171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist