Provider Demographics
NPI:1952933897
Name:LINDSAY, STEFFEN JAMES
Entity Type:Individual
Prefix:
First Name:STEFFEN
Middle Name:JAMES
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 1:813 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-1905
Mailing Address - Country:US
Mailing Address - Phone:267-347-9451
Mailing Address - Fax:
Practice Address - Street 1:813 W STATE ST
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1905
Practice Address - Country:US
Practice Address - Phone:267-347-9451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-09
Last Update Date:2020-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program