Provider Demographics
NPI:1649396474
Name:POWERS, LYNDSEY PAQUETTE (DC)
Entity type:Individual
Prefix:DR
First Name:LYNDSEY
Middle Name:PAQUETTE
Last Name:POWERS
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 1:1133 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-2725
Mailing Address - Country:US
Mailing Address - Phone:731-686-8636
Mailing Address - Fax:731-686-8635
Practice Address - Street 1:1133 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-2725
Practice Address - Country:US
Practice Address - Phone:731-686-8636
Practice Address - Fax:731-686-8635
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor