Individual
REGINA C LINDSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 IL-16, PO BO 42, PIASA, IL 62079-6207
(636) 409-4074
Mailing address
PO BOX 42, PIASA, IL 62079-0042
(636) 409-4074
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
05/04/2024
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