Doctor Name: | LINDSEY RAY |
NPI Number: | 1427387612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 4704243803 |
Business Practice Address: | 8300 Westpark Way Zeeland, MI - 494647901 |
Business Phone Number: | 6167727314 |
Business Fax Number: | 6167728276 |
Mailing Address: | 8300 Westpark Way, ZEELAND |
State: | MI |
Postal Code: | 494647901 |
Phone Number: | 6167727314 |
Fax Number: | 6167728276 |
NPI Enumeration Date: | 12/17/2009 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704243803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |