Healthcare Provider Details

I. General information

NPI: 1194089938
Provider Name (Legal Business Name): LINDSEY DEBORAH RIECK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HURLEY PLZ
FLINT MI
48503-5902
US

IV. Provider business mailing address

3730 FRANKLIN ST
LAKEPORT MI
48059-1927
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9355
  • Fax: 810-262-6341
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number5101019871
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5101019871
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: