Provider Demographics
NPI:1023426582
Name:PAULSON, LINDSEY (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:PAULSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 PEARSON AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-7041
Mailing Address - Country:US
Mailing Address - Phone:402-630-2729
Mailing Address - Fax:
Practice Address - Street 1:1618 S DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8026
Practice Address - Country:US
Practice Address - Phone:515-233-1866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA074336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor