Provider Demographics
NPI:1083407746
Name:JAMES DE LA ROSA BUGLEWICZ, LINDSEY E (LRT, CTRS)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:E
Last Name:JAMES DE LA ROSA BUGLEWICZ
Suffix:
Gender:F
Credentials:LRT, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BELLOWING DOE RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-2376
Mailing Address - Country:US
Mailing Address - Phone:704-779-6930
Mailing Address - Fax:
Practice Address - Street 1:107 BELLOWING DOE RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-2376
Practice Address - Country:US
Practice Address - Phone:704-779-6930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
55593225800000X
NC1802225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist