Healthcare Provider Details

I. General information

NPI: 1215171749
Provider Name (Legal Business Name): LINDSEY R MCMAHAN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY R HIGGINS

II. Dates (important events)

Enumeration Date: 04/28/2009
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 WYNDHAM DR
SACRAMENTO CA
95823-4913
US

IV. Provider business mailing address

7300 WYNDHAM DR
SACRAMENTO CA
95823-4913
US

V. Phone/Fax

Practice location:
  • Phone: 916-525-6280
  • Fax:
Mailing address:
  • Phone: 916-525-6291
  • Fax: 916-525-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2722
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: