Healthcare Provider Details

I. General information

NPI: 1871757500
Provider Name (Legal Business Name): LINDSAY BURNS RAGSDALE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST MN470
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

800 ROSE ST MN470
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-5522
  • Fax:
Mailing address:
  • Phone: 859-257-5522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42791
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD440383
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License NumberMT201916
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number42791
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: