Individual
LINDSEY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3411 WILLOW LAKE DR, APT 205, KALAMAZOO, MI 49008-2614
(575) 635-0853
Mailing address
3411 WILLOW LAKE DR APT 205, KALAMAZOO, MI 49008-2678
(575) 635-0853
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2601001582
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
01/20/2015
Last updated
01/15/2016
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