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NPI Code Detail

MEDICARE: ELIZABETH LINDSEY

MEDICARE: ELIZABETH LINDSEY
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
1282E00000XLong Term Care HospitalOT.008740OH

General Provider Information

NPI Number : 1790238491
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LINDSEY
Provider Business Mailing Address
First Line : 1482 LARCHMONT AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3402
Country : US
Telephone Number : 440-429-5745
Fax Number :
Provider Business Practice Location Address
First Line : 10603 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-1647
Country : US
Telephone Number : 440-429-5745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2016
Last Update Date : 07/25/2022

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