Healthcare Provider Details

I. General information

NPI: 1568325231
Provider Name (Legal Business Name): LINDSEY FLORIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 DULLES DR
LAFAYETTE LA
70506-2652
US

IV. Provider business mailing address

PO BOX 1410
SCOTT LA
70583-1410
US

V. Phone/Fax

Practice location:
  • Phone: 337-981-9182
  • Fax: 337-988-3441
Mailing address:
  • Phone: 337-981-9182
  • Fax: 337-988-3441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberLA6897
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: