Healthcare Provider Details

I. General information

NPI: 1821270299
Provider Name (Legal Business Name): LINDSEY MARIE SEIGLE SLOTT L.AC., D.A.C.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 10/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 ROUTE 35 STE 6
MIDDLETOWN NJ
07748-2000
US

IV. Provider business mailing address

17 PAPA CT
ATLANTIC HIGHLANDS NJ
07716-4016
US

V. Phone/Fax

Practice location:
  • Phone: 732-739-3345
  • Fax: 732-739-3376
Mailing address:
  • Phone: 781-879-4503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00077300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: