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NPI Code Detail

MEDICARE: LINDSEY GRACE MCLEAR NP

MEDICARE: LINDSEY GRACE MCLEAR NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF343055NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366935298
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY GRACE MCLEAR NP
Provider Business Mailing Address
First Line : 5 LYON PL
Second Line :
City : OGDENSBURG
State : NY
Zip : 13669-2586
Country : US
Telephone Number : 315-393-2314
Fax Number : 315-393-3873
Provider Business Practice Location Address
First Line : 5 LYON PL
Second Line :
City : OGDENSBURG
State : NY
Zip : 13669-2586
Country : US
Telephone Number : 315-393-2314
Fax Number : 315-393-3873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2018
Last Update Date : 04/20/2022

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