Provider Demographics
NPI:1801438957
Name:LINDSAY, CRAIG FREDRICK
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:FREDRICK
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12616 TRENCH HILL LANE
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-7010
Mailing Address - Country:US
Mailing Address - Phone:540-273-8193
Mailing Address - Fax:
Practice Address - Street 1:12616 TRENCH HILL LANE
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-7010
Practice Address - Country:US
Practice Address - Phone:540-273-8193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider