Healthcare Provider Details

I. General information

NPI: 1336772789
Provider Name (Legal Business Name): LINDSAY HOLLISTER NATUROPATHIC DOCTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 AUSTIN BLUFFS PKWY UNIT 100
COLORADO SPRINGS CO
80920-2901
US

IV. Provider business mailing address

7982 PARSONAGE LN
COLORADO SPRINGS CO
80951-9779
US

V. Phone/Fax

Practice location:
  • Phone: 719-838-2873
  • Fax:
Mailing address:
  • Phone: 719-352-2060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND0000192
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: