Provider Demographics
NPI:1932983749
Name:DELPH, LINDSAY NICOLE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:NICOLE
Last Name:DELPH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6444 FABER RD
Mailing Address - Street 2:
Mailing Address - City:FABER
Mailing Address - State:VA
Mailing Address - Zip Code:22938-2781
Mailing Address - Country:US
Mailing Address - Phone:434-249-2701
Mailing Address - Fax:
Practice Address - Street 1:4916 PLANK RD STE UPPER6
Practice Address - Street 2:
Practice Address - City:NORTH GARDEN
Practice Address - State:VA
Practice Address - Zip Code:22959-1613
Practice Address - Country:US
Practice Address - Phone:434-249-2701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121001010171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty