Provider Demographics
NPI:1134898570
Name:PARKER, LINDSEY LEE (CPHT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LEE
Last Name:PARKER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15970 MESQUITE ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-4230
Mailing Address - Country:US
Mailing Address - Phone:714-470-0947
Mailing Address - Fax:
Practice Address - Street 1:4120 PHELAN RD
Practice Address - Street 2:
Practice Address - City:PHELAN
Practice Address - State:CA
Practice Address - Zip Code:92371-3904
Practice Address - Country:US
Practice Address - Phone:760-868-3413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCH162051183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician