Healthcare Provider Details

I. General information

NPI: 1558672352
Provider Name (Legal Business Name): LINDSEY WILLIS BANKS AU. D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY MEGAN WILLIS

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US

IV. Provider business mailing address

33950 STATE ROAD 70 E
MYAKKA CITY FL
34251-9418
US

V. Phone/Fax

Practice location:
  • Phone: 314-729-0077
  • Fax: 314-729-0101
Mailing address:
  • Phone: 941-224-1494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY 1612
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2024032593
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: