MEDICARE: DR. STEPHEN LINDSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	DS3919	TN
2	1223G0001X	General Practice Dentistry	DS3919	TN

General Provider Information

NPI Number	:	1366782906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN LINDSEY

Provider Business Mailing Address
First Line	:	5180 PARK AVE STE 310
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3531
Country	:	US
Telephone Number	:	901-685-1152
Fax Number	:	901-682-6846

Provider Business Practice Location Address
First Line	:	5180 PARK AVE STE 310
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-3531
Country	:	US
Telephone Number	:	901-685-1152
Fax Number	:	901-682-6846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2013
Last Update Date	:	07/08/2020

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Directions to “ DR. STEPHEN LINDSEY ” Practice Location

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