Provider Demographics
NPI:1144055724
Name:HARRIS, LINDSEY
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 ARAVESTA AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2008
Mailing Address - Country:US
Mailing Address - Phone:330-951-5315
Mailing Address - Fax:
Practice Address - Street 1:5039 ARAVESTA AVE APT 6
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-2008
Practice Address - Country:US
Practice Address - Phone:330-951-5315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide