Doctor Name: | MEGAN D LINDLEY |
NPI Number: | 1801913769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C, ATC |
License Number: | 096002659 |
Business Practice Address: | 610 Vale Ave Rockford, IL - 611074656 |
Business Phone Number: | 8155405893 |
Business Fax Number: | |
Mailing Address: | 610 Vale Ave, ROCKFORD |
State: | IL |
Postal Code: | 611074656 |
Phone Number: | 8152980965 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2007 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 096002659 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |