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NPI Code Detail

MEDICARE: MRS. LINDSAY SUE MACKENZIE

MEDICARE: MRS. LINDSAY SUE MACKENZIE
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
1171M00000XCase Manager/Care CoordinatorTJ441914OH

General Provider Information

NPI Number : 1649137829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSAY SUE MACKENZIE
Provider Business Mailing Address
First Line : 740 CENTRAL AVE
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1204
Country : US
Telephone Number : 937-467-1485
Fax Number :
Provider Business Practice Location Address
First Line : 632 WAGNER AVE
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-2649
Country : US
Telephone Number : 937-365-2275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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