Provider Demographics
NPI:1629480751
Name:CRESS, LYNDSI (DO)
Entity type:Individual
Prefix:
First Name:LYNDSI
Middle Name:
Last Name:CRESS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PINNACLE PL STE F
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-7220
Mailing Address - Country:US
Mailing Address - Phone:843-663-0285
Mailing Address - Fax:843-484-5464
Practice Address - Street 1:120 PINNACLE PL STE F
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-7220
Practice Address - Country:US
Practice Address - Phone:843-663-0285
Practice Address - Fax:843-484-5464
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-23
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC83007207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine