Provider Demographics
NPI:1548516750
Name:BUCHANAN, LYNDSEY KAY
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:KAY
Last Name:BUCHANAN
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 1:9133 W THUNDERBIRD RD
Mailing Address - Street 2:PEORIA
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4267
Mailing Address - Country:US
Mailing Address - Phone:602-455-1331
Mailing Address - Fax:
Practice Address - Street 1:9133 W THUNDERBIRD RD
Practice Address - Street 2:PEORIA
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4267
Practice Address - Country:US
Practice Address - Phone:602-455-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7629237700000X
AZHAD8284237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist