1851787535 NPI number — MEGAN CATHERINE LINDSEY L.AC., DIPL.OM

Table of content: MEGAN CATHERINE LINDSEY L.AC., DIPL.OM (NPI 1851787535)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851787535 NPI number — MEGAN CATHERINE LINDSEY L.AC., DIPL.OM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINDSEY
Provider First Name:
MEGAN
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.AC., DIPL.OM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851787535
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/12/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4542 RUFFNER ST STE 130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92111-2238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-576-7243
Provider Business Mailing Address Fax Number:
858-576-1009

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4542 RUFFNER ST STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-576-7243
Provider Business Practice Location Address Fax Number:
858-576-1009
Provider Enumeration Date:
04/09/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC16524 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)