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NPI Code Detail

MEDICARE: ALICE LINDSEY M.D.

MEDICARE: ALICE LINDSEY M.D.
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
1207Q00000XFamily Medicine Physician4301042752MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336162999
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE LINDSEY M.D.
Provider Business Mailing Address
First Line : 1387 N STATE ST APT 9
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1032
Country : US
Telephone Number : 906-643-0400
Fax Number : 906-643-6188
Provider Business Practice Location Address
First Line : 220 BURDETTE ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1712
Country : US
Telephone Number : 906-643-0400
Fax Number : 906-643-6188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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Directions to “ ALICE LINDSEY M.D.” Practice Location

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