Healthcare Provider Details

I. General information

NPI: 1194071795
Provider Name (Legal Business Name): LINDSAY BLAISE WELLS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY NICHOLE BLAISE PHARMD

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1982 COVINGTON PT
LEXINGTON KY
40509-8388
US

IV. Provider business mailing address

1101 VETERANS DR
LEXINGTON KY
40502-2235
US

V. Phone/Fax

Practice location:
  • Phone: 618-201-7972
  • Fax:
Mailing address:
  • Phone: 859-233-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberP-12615
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: