MEDICARE: LINDSAY J EK CRNA, RN, MSN, SRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	2145727	MN
2	367500000X	Certified Registered Nurse Anesthetist	1103998	WI
3	163W00000X	Registered Nurse	1103998-30	WI

General Provider Information

NPI Number	:	1275331142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY J EK CRNA, RN, MSN, SRNA

Provider Business Mailing Address
First Line	:	19062 OAK GROVE AVE
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-3483
Country	:	US
Telephone Number	:	651-214-9226
Fax Number	:

Provider Business Practice Location Address
First Line	:	19062 OAK GROVE AVE
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-3483
Country	:	US
Telephone Number	:	651-214-9226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	02/04/2026

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