Provider Demographics
NPI:1336772789
Name:HOLLISTER, LINDSAY (NATUROPATHIC DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:HOLLISTER
Suffix:
Gender:F
Credentials:NATUROPATHIC DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7982 PARSONAGE LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80951-9779
Mailing Address - Country:US
Mailing Address - Phone:719-352-2060
Mailing Address - Fax:
Practice Address - Street 1:7615 AUSTIN BLUFFS PKWY UNIT 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-2901
Practice Address - Country:US
Practice Address - Phone:719-838-2873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COND0000192175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath