MEDICARE: LINDSAY FREUND RN

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
1	163W00000X	Registered Nurse	RN.296576	OH

General Provider Information

NPI Number	:	1609684315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY FREUND RN

Provider Business Mailing Address
First Line	:	1475 LEXINGTON AVE STE A
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-2687
Country	:	US
Telephone Number	:	419-386-0954
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 LEXINGTON AVE STE A
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-2687
Country	:	US
Telephone Number	:	419-386-0954
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	03/03/2026

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