MEDICARE: MS. DEZIREE LINDSEY L.M.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00022532	WA
2	174N00000X	Lactation Consultant (Non-RN)	L-312688

General Provider Information

NPI Number	:	1083769624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEZIREE LINDSEY L.M.P.

Provider Business Mailing Address
First Line	:	1101 CAMINO LA COSTA
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-3930
Country	:	US
Telephone Number	:	512-478-4939
Fax Number	:

Provider Business Practice Location Address
First Line	:	13106 AMARILLO AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78729-7539
Country	:	US
Telephone Number	:	206-251-9719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	05/16/2025

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