Healthcare Provider Details

I. General information

NPI: 1750581914
Provider Name (Legal Business Name): LINDSAY BRIANNE COBB M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY COVER M.D.

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 06/17/2021
Certification Date: 06/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HOSPITAL PL
SOLDOTNA AK
99669-6999
US

IV. Provider business mailing address

250 HOSPITAL PL
SOLDOTNA AK
99669-6999
US

V. Phone/Fax

Practice location:
  • Phone: 907-714-4502
  • Fax: 907-714-4696
Mailing address:
  • Phone: 907-714-4502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.092511
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMEDS7445
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: