Provider Demographics
NPI:1982595914
Name:TAILOR, LINDSEY LOU
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LOU
Last Name:TAILOR
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 1:915 S OAK AVE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-8153
Mailing Address - Country:US
Mailing Address - Phone:580-403-7625
Mailing Address - Fax:
Practice Address - Street 1:915 S OAK AVE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-8153
Practice Address - Country:US
Practice Address - Phone:580-403-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist