Healthcare Provider Details

I. General information

NPI: 1396189759
Provider Name (Legal Business Name): LINDSEY ANN GADE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2013
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 PERDIDO ST FL 8
NEW ORLEANS LA
70112-1352
US

IV. Provider business mailing address

2021 PERDIDO ST FL 8
NEW ORLEANS LA
70112-1352
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-4750
  • Fax:
Mailing address:
  • Phone: 504-568-4750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD047581
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: