Provider Demographics
NPI:1285939736
Name:LINDSEY-LOPES, CRYSTAL VICTORIA (RN)
Entity type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:VICTORIA
Last Name:LINDSEY-LOPES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12127 S PINE DR APT 258
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1959
Mailing Address - Country:US
Mailing Address - Phone:513-554-0954
Mailing Address - Fax:
Practice Address - Street 1:12127 S PINE DR APT 258
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-1959
Practice Address - Country:US
Practice Address - Phone:513-554-0954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.344991163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse