Provider Demographics
NPI:1063297661
Name:LINDSAY, DARCIE MARIE
Entity type:Individual
Prefix:
First Name:DARCIE
Middle Name:MARIE
Last Name:LINDSAY
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 1:609 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:OK
Mailing Address - Zip Code:73542-1619
Mailing Address - Country:US
Mailing Address - Phone:580-340-5166
Mailing Address - Fax:
Practice Address - Street 1:609 MEADOW LN
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:OK
Practice Address - Zip Code:73542-1619
Practice Address - Country:US
Practice Address - Phone:580-340-5166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist