MEDICARE: LINDSEY LUEFAN

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	MA108196	FL

General Provider Information

NPI Number	:	1104799410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY LUEFAN

Provider Business Mailing Address
First Line	:	3034 YOUNGFORD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4254
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3034 YOUNGFORD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4254
Country	:	US
Telephone Number	:	727-687-5621
Fax Number	:

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

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	09/24/2025

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Directions to “ LINDSEY LUEFAN ” Practice Location

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