Healthcare Provider Details

I. General information

NPI: 1912297847
Provider Name (Legal Business Name): LINDSAY MARIE MORROW D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY MARIE MATNEY

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 FISHER ST
BILOXI MS
39534-2508
US

IV. Provider business mailing address

468 JORDAN DR
BOSSIER CITY LA
71112-4079
US

V. Phone/Fax

Practice location:
  • Phone: 228-376-4002
  • Fax:
Mailing address:
  • Phone: 919-414-1034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number325175
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2657
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: