NPI Code Details Logo

NPI 1013335603

NPI 1013335603 : LINDSEY BORNSTEIN GOTTLIEB MD : ATLANTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1013335603
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LINDSEY BORNSTEIN GOTTLIEB MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2014
-----------------------------------------------------
    Last Update Date     |    06/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    550 PEACHTREE ST NE 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30308-2212
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-686-8114
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    520 RIVERSIDE PKWY 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30328-3747
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-895-9443
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RI0200X
-----------------------------------------------------
    Taxonomy Name        |    Infectious Disease Physician
-----------------------------------------------------
    License Number       |    287712
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RI0200X
-----------------------------------------------------
    Taxonomy Name        |    Infectious Disease Physician
-----------------------------------------------------
    License Number       |    89103
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.