Provider Demographics
NPI:1639900426
Name:POLIS, LINDSAY ERIN
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:ERIN
Last Name:POLIS
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 1:4290 MOUNT ABERNATHY AVE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-5023
Mailing Address - Country:US
Mailing Address - Phone:858-344-1555
Mailing Address - Fax:
Practice Address - Street 1:4290 MOUNT ABERNATHY AVE UNIT 5
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-5023
Practice Address - Country:US
Practice Address - Phone:858-344-1555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care