Provider Demographics
NPI:1962096131
Name:MESSENGER, LINDSAY JOY
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JOY
Last Name:MESSENGER
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 1:1365 E PARKS HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-8297
Mailing Address - Country:US
Mailing Address - Phone:907-357-6445
Mailing Address - Fax:
Practice Address - Street 1:413 S GULKANA ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6441
Practice Address - Country:US
Practice Address - Phone:315-256-6191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-27
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker