Provider Demographics
NPI:1265910681
Name:LOFTON, LINDSAY PAIGE (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:PAIGE
Last Name:LOFTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E 19TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4617
Mailing Address - Country:US
Mailing Address - Phone:918-631-7700
Mailing Address - Fax:
Practice Address - Street 1:505 E 19TH ST STE 105
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4617
Practice Address - Country:US
Practice Address - Phone:918-631-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor