Healthcare Provider Details

I. General information

NPI: 1053380238
Provider Name (Legal Business Name): LINDSEY C. THOMAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E WILSON ST APT L3
MADISON WI
53703-3484
US

IV. Provider business mailing address

155 E WILSON ST APT L3
MADISON WI
53703-3484
US

V. Phone/Fax

Practice location:
  • Phone: 612-730-3616
  • Fax:
Mailing address:
  • Phone: 612-730-3616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number39555-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number28998
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: