Healthcare Provider Details
I. General information
NPI: 1851979157
Provider Name (Legal Business Name): LINDSAY D MARTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/30/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 E SPRING VALLEY PIKE
CENTERVILLE OH
45458-2691
US
IV. Provider business mailing address
200 E SPRING VALLEY PIKE
CENTERVILLE OH
45458-2691
US
V. Phone/Fax
- Phone: 937-813-2124
- Fax: 240-690-6447
- Phone: 937-813-2124
- Fax: 240-690-6447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35.150719 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: