Healthcare Provider Details

I. General information

NPI: 1669714838
Provider Name (Legal Business Name): LINDSAY DORMER ROBINSON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GLASGOW AVE STE 207
NEWARK DE
19702-5704
US

IV. Provider business mailing address

2600 GLASGOW AVE STE 207
NEWARK DE
19702-5704
US

V. Phone/Fax

Practice location:
  • Phone: 28-321-1243
  • Fax:
Mailing address:
  • Phone: 302-832-1124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberLK-0000166
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: