Provider Demographics
NPI:1740629138
Name:SISSON, LINDSEY NICOLE
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:SISSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:NICOLE
Other - Last Name:CONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 COUNTRY FARM RD
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-2536
Mailing Address - Country:US
Mailing Address - Phone:603-303-2962
Mailing Address - Fax:
Practice Address - Street 1:1 PORTSMOUTH AVE STE 1
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2585
Practice Address - Country:US
Practice Address - Phone:603-580-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist