Provider Demographics
NPI:1750566097
Name:MANSUETO, LINDSEY URSULA (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:URSULA
Last Name:MANSUETO
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 1:105 HWY 31
Mailing Address - Street 2:104
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5772
Mailing Address - Country:US
Mailing Address - Phone:908-806-3040
Mailing Address - Fax:908-806-3050
Practice Address - Street 1:105 HWY 31
Practice Address - Street 2:104
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5772
Practice Address - Country:US
Practice Address - Phone:908-806-3040
Practice Address - Fax:908-806-3050
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-06
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9485111N00000X
NJ38MC00703600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor