Provider Demographics
NPI:1740462183
Name:GALLAGHER, LINDI E
Entity type:Individual
Prefix:MRS
First Name:LINDI
Middle Name:E
Last Name:GALLAGHER
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 1:993 GOVERNOR DR STE 103
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4290
Mailing Address - Country:US
Mailing Address - Phone:916-224-5326
Mailing Address - Fax:
Practice Address - Street 1:5179 BUTTERWOOD CIR
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-5605
Practice Address - Country:US
Practice Address - Phone:916-224-5326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist