Provider Demographics
NPI:1740466945
Name:LINDLEY, LESLEY JO BALADJAY (DO)
Entity type:Individual
Prefix:MRS
First Name:LESLEY
Middle Name:JO BALADJAY
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LESLEY
Other - Middle Name:JO
Other - Last Name:BALADJAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1800 HARRISON ST, 7TH FL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3429
Mailing Address - Country:US
Mailing Address - Phone:510-625-2856
Mailing Address - Fax:877-738-4262
Practice Address - Street 1:1800 HARRISON ST, 7TH FL
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3429
Practice Address - Country:US
Practice Address - Phone:510-625-2856
Practice Address - Fax:877-738-4262
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10097207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine