Healthcare Provider Details

I. General information

NPI: 1558123679
Provider Name (Legal Business Name): LINDSEY SUE HULL LAC, ADS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY SKELTON LACA, ADS

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 WASHINGTON AVE
TERRE HAUTE IN
47802-1128
US

IV. Provider business mailing address

1829 OHIO ST
TERRE HAUTE IN
47807-4136
US

V. Phone/Fax

Practice location:
  • Phone: 765-592-0539
  • Fax:
Mailing address:
  • Phone: 765-592-0539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number80000059A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number86000459A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: