Provider Demographics
NPI:1457243776
Name:HATCH, LINDSY ROSE
Entity type:Individual
Prefix:
First Name:LINDSY
Middle Name:ROSE
Last Name:HATCH
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 FLAGSHIP DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86404-1145
Mailing Address - Country:US
Mailing Address - Phone:253-457-4680
Mailing Address - Fax:
Practice Address - Street 1:550 N 3RD STREET
Practice Address - Street 2:HEALTH NORTH BUILDING, 3RD FLOOR
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004
Practice Address - Country:US
Practice Address - Phone:602-496-0907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program