Provider Demographics
NPI:1154981314
Name:LINDSEY, CLINTON D
Entity type:Individual
Prefix:
First Name:CLINTON
Middle Name:D
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6303 TONBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-4066
Mailing Address - Country:US
Mailing Address - Phone:440-252-7126
Mailing Address - Fax:
Practice Address - Street 1:6303 TONBRIDGE CT
Practice Address - Street 2:
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146-4066
Practice Address - Country:US
Practice Address - Phone:440-252-7126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide