Doctor Name: | LINDSAY GILL |
NPI Number: | 1881070803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A004480 |
Business Practice Address: | 136 Block St Marion, AR - 723641956 |
Business Phone Number: | 9012680210 |
Business Fax Number: | |
Mailing Address: | 136 Block St, MARION |
State: | AR |
Postal Code: | 723641956 |
Phone Number: | 9012680210 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2015 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A004480 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |