Provider Demographics
NPI:1831367952
Name:FOX, LINDSAY JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:JEAN
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:JEAN
Other - Last Name:WRIGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:830 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96067-2137
Mailing Address - Country:US
Mailing Address - Phone:530-918-9331
Mailing Address - Fax:530-918-9323
Practice Address - Street 1:830 PINE ST
Practice Address - Street 2:
Practice Address - City:MOUNT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-2137
Practice Address - Country:US
Practice Address - Phone:530-918-9331
Practice Address - Fax:530-918-9323
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104826208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery