Organization Name: | LINDSAY CLINIC PA |
NPI Number: | 1386836732 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA LINDSAY (PRESIDENT) |
Mailing Address: | 109 Highway 15 S Pontotoc |
State: | MS US |
Postal Code: | 388632628 |
Phone Number: | 6625099934 |
Fax Number: | 6625099935 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |