Healthcare Provider Details

I. General information

NPI: 1174301436
Provider Name (Legal Business Name): MRS. LINDSAY RASCHELLE PERKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 DALE AVE NW
STRASBURG OH
44680-1034
US

IV. Provider business mailing address

96 DALE AVE NW
STRASBURG OH
44680-1034
US

V. Phone/Fax

Practice location:
  • Phone: 330-987-7326
  • Fax:
Mailing address:
  • Phone: 330-987-7326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number126196
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: