Provider Demographics
NPI:1306467469
Name:HALE, LINDSEY LEIGH (LPN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LEIGH
Last Name:HALE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6621 BURBANK CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5007
Mailing Address - Country:US
Mailing Address - Phone:865-407-5873
Mailing Address - Fax:
Practice Address - Street 1:6621 BURBANK CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5007
Practice Address - Country:US
Practice Address - Phone:865-407-5873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN68114164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse