Healthcare Provider Details

I. General information

NPI: 1255509113
Provider Name (Legal Business Name): LINDSEY MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 PATRICK PL SUITE B
BROWNSBURG IN
46112-2213
US

IV. Provider business mailing address

640 PATRICK PL SUITE B
BROWNSBURG IN
46112-2213
US

V. Phone/Fax

Practice location:
  • Phone: 317-858-8630
  • Fax:
Mailing address:
  • Phone: 317-858-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: