Provider Demographics
NPI:1013352947
Name:GRIFFIN, LINDSEY M (CO)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16607 RIVERSTONE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-5750
Mailing Address - Country:US
Mailing Address - Phone:980-250-1505
Mailing Address - Fax:980-217-4757
Practice Address - Street 1:16607 RIVERSTONE WAY STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-5750
Practice Address - Country:US
Practice Address - Phone:980-250-1505
Practice Address - Fax:980-217-4757
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCO005179222Z00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist