Provider Demographics
NPI:1962114934
Name:DUPREE, LINDSAY HAWTHORNE (DPT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:HAWTHORNE
Last Name:DUPREE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 RINGGOLD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:COUSHATTA
Mailing Address - State:LA
Mailing Address - Zip Code:71019-9004
Mailing Address - Country:US
Mailing Address - Phone:318-932-1770
Mailing Address - Fax:
Practice Address - Street 1:1110 RINGGOLD AVE STE B
Practice Address - Street 2:
Practice Address - City:COUSHATTA
Practice Address - State:LA
Practice Address - Zip Code:71019-9004
Practice Address - Country:US
Practice Address - Phone:318-932-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08330208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation