Healthcare Provider Details

I. General information

NPI: 1144752601
Provider Name (Legal Business Name): LINDSAY MARIE BALDRIDGE DO, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY THORNBERG

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY OF NEW MEXICO MSC10 5590
ALBUQUERQUE NM
87131
US

IV. Provider business mailing address

1 UNIVERSITY OF NEW MEXICO MSC10 5590
ALBUQUERQUE NM
87131
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-6632
  • Fax: 505-272-6620
Mailing address:
  • Phone: 505-272-6632
  • Fax: 505-272-6620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO2024-0113
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: