Healthcare Provider Details

I. General information

NPI: 1467308403
Provider Name (Legal Business Name): LINDSEY EALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 3RD ST
DULUTH MN
55805-1951
US

IV. Provider business mailing address

5720 ONEIDA ST
DULUTH MN
55804-1350
US

V. Phone/Fax

Practice location:
  • Phone: 218-576-0177
  • Fax:
Mailing address:
  • Phone: 218-576-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: