Provider Demographics
NPI:1992942262
Name:CONCEPCION, LINDSAY (LMT)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:
Last Name:CONCEPCION
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MAKALOA ST STE 880
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3220
Mailing Address - Country:US
Mailing Address - Phone:808-636-4467
Mailing Address - Fax:
Practice Address - Street 1:1580 MAKALOA ST STE 880
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3220
Practice Address - Country:US
Practice Address - Phone:808-636-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10315225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist