Healthcare Provider Details

I. General information

NPI: 1679298566
Provider Name (Legal Business Name): LINDSAY TEMPLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 MONTGOMERY RD STE 2-E
MONTGOMERY OH
45242-5201
US

IV. Provider business mailing address

10475 MONTGOMERY RD STE 2-E
MONTGOMERY OH
45242-5201
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-1690
  • Fax: 513-865-1691
Mailing address:
  • Phone: 513-865-1690
  • Fax: 513-865-1691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0032432
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: