Basic Information
| Provider Information | |||||||||
| NPI: | 1679654495 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LINDSAY | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 520 SUPERIOR AVE | ||||||||
| Address2: | STE 370 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926633623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495747176 | ||||||||
| FaxNumber: | 9495747180 | ||||||||
| Practice Location | |||||||||
| Address1: | 447 OLD NEWPORT BLVD | ||||||||
| Address2: | STE 210 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92663 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495747176 | ||||||||
| FaxNumber: | 9495747180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2006 | ||||||||
| LastUpdateDate: | 11/05/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0129X | A25544 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
No ID Information.