Doctor Name: | LINDSEY GAYLE RAYMOND |
NPI Number: | 1164703336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 12556 |
Business Practice Address: | 28100 Chagrin Blvd Woodmere, OH - 441224522 |
Business Phone Number: | 8663892727 |
Business Fax Number: | |
Mailing Address: | 2192 Edgewood Rd, CLEVELAND HEIGHTS |
State: | OH |
Postal Code: | 441182844 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/01/2011 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 12556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |