Provider Demographics
NPI:1023791183
Name:OLDS, LINDSAY RAE
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RAE
Last Name:OLDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 OLD HARMON RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-9619
Mailing Address - Country:US
Mailing Address - Phone:406-475-1443
Mailing Address - Fax:
Practice Address - Street 1:23 OLD HARMON RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-9619
Practice Address - Country:US
Practice Address - Phone:406-475-1443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider