Healthcare Provider Details

I. General information

NPI: 1710823489
Provider Name (Legal Business Name): LINDSAY VERMEEREN ESTHETICIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W COAST HWY STE 205
NEWPORT BEACH CA
92663-5603
US

IV. Provider business mailing address

100 W COAST HWY STE 205
NEWPORT BEACH CA
92663-5603
US

V. Phone/Fax

Practice location:
  • Phone: 714-501-2393
  • Fax:
Mailing address:
  • Phone: 714-501-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberZ78554
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: