Provider Demographics
NPI:1649826462
Name:INGLIS, LAURINDA (RDH, BSDH, OMT)
Entity type:Individual
Prefix:
First Name:LAURINDA
Middle Name:
Last Name:INGLIS
Suffix:
Gender:F
Credentials:RDH, BSDH, OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 MAGNOLIA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0314
Mailing Address - Country:US
Mailing Address - Phone:214-693-5431
Mailing Address - Fax:
Practice Address - Street 1:4005 MAGNOLIA RIDGE DR
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0314
Practice Address - Country:US
Practice Address - Phone:214-693-5431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No124Q00000XDental ProvidersDental Hygienist