Healthcare Provider Details

I. General information

NPI: 1891878831
Provider Name (Legal Business Name): KRISTI SUE LINDSEY FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 W LA VETA AVE STE 555
ORANGE CA
92868
US

IV. Provider business mailing address

1140 W LA VETA AVE STE 555
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 714-835-5100
  • Fax: 714-835-5567
Mailing address:
  • Phone: 714-835-5100
  • Fax: 714-835-5567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberNP11609
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: