Provider Demographics
NPI:1992046858
Name:DEHAAS, LINDSAY MICHELLE (ND)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:MICHELLE
Last Name:DEHAAS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 BAY ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3005
Mailing Address - Country:US
Mailing Address - Phone:603-346-4966
Mailing Address - Fax:
Practice Address - Street 1:53 BAY ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3005
Practice Address - Country:US
Practice Address - Phone:603-346-4966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH109175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHMD3422398OtherDEA