Healthcare Provider Details

I. General information

NPI: 1568750149
Provider Name (Legal Business Name): LINDSAY R HEULITT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2011
Last Update Date: 07/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BAPTIST HEALTH DR SUITE 500
LITTLE ROCK AR
72205-6321
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DR SUITE 500
LITTLE ROCK AR
72205-6321
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-5885
  • Fax: 501-227-5005
Mailing address:
  • Phone: 501-227-5885
  • Fax: 501-227-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberT2481
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE-9550
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number23777
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: