Healthcare Provider Details
I. General information
NPI: 1902111685
Provider Name (Legal Business Name): LINDSAY MICHELLE USINGER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/18/2010
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1605 S 31ST ST
TEMPLE TX
76508-0001
US
IV. Provider business mailing address
1700 UNIVERSITY BLVD APT 223
ROUND ROCK TX
78665-8005
US
V. Phone/Fax
- Phone: 254-215-9100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | 49226 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | PH60151651 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: