Healthcare Provider Details

I. General information

NPI: 1801043302
Provider Name (Legal Business Name): LINDSEY ELIZABETH JORGENSEN AU.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE
LEXINGTON KY
40536-0284
US

IV. Provider business mailing address

414 E CLARK ST
VERMILLION SD
57069-2307
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-3390
  • Fax:
Mailing address:
  • Phone: 605-677-6678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number309085
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number404A
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: