Healthcare Provider Details

I. General information

NPI: 1457584831
Provider Name (Legal Business Name): DANA LINDSAY HAAKE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2009
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 GALLATIN PIKE N
MADISON TN
37115-2001
US

IV. Provider business mailing address

2003 GALLATIN PIKE N
MADISON TN
37115-2001
US

V. Phone/Fax

Practice location:
  • Phone: 615-846-9850
  • Fax: 615-859-0915
Mailing address:
  • Phone: 615-846-9850
  • Fax: 615-859-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6999
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: