Healthcare Provider Details

I. General information

NPI: 1174963565
Provider Name (Legal Business Name): LYNDSAY N PANKRATZ CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2013
Last Update Date: 05/08/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 GRAHAM RD
CUYAHOGA FALLS OH
44221-1170
US

IV. Provider business mailing address

857 GRAHAM ROAD 3B ENDOCRINOLOGY
STOW OH
44224
US

V. Phone/Fax

Practice location:
  • Phone: 330-923-9585
  • Fax:
Mailing address:
  • Phone: 330-923-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.14701-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: