Healthcare Provider Details

I. General information

NPI: 1750265856
Provider Name (Legal Business Name): LINDSAY MENARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8915 W CONNELL AVE
MILWAUKEE WI
53226-3067
US

IV. Provider business mailing address

N60W21454 LEGACY TRL
MENOMONEE FALLS WI
53051-3083
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-3301
  • Fax:
Mailing address:
  • Phone: 717-903-9108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number17870-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: