MEDICARE: DR. LINDSAY HOLLISTER NATUROPATHIC DOCTOR

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	175F00000X	Naturopath	ND0000192	CO

General Provider Information

NPI Number	:	1336772789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSAY HOLLISTER NATUROPATHIC DOCTOR

Provider Business Mailing Address
First Line	:	7982 PARSONAGE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80951-9779
Country	:	US
Telephone Number	:	719-352-2060
Fax Number	:

Provider Business Practice Location Address
First Line	:	7615 AUSTIN BLUFFS PKWY UNIT 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2901
Country	:	US
Telephone Number	:	719-838-2873
Fax Number	:

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

Provider Enumeration Date	:	02/13/2020
Last Update Date	:	02/13/2020

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