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NPI Code Detail

MEDICARE: DR. LINDSEY MICHELLE FUENTES PHARM.D.

MEDICARE: DR. LINDSEY MICHELLE FUENTES PHARM.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
1183500000XPharmacistS016094AZ

General Provider Information

NPI Number : 1548591449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDSEY MICHELLE FUENTES PHARM.D.
Provider Business Mailing Address
First Line : 2505 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-3318
Country : US
Telephone Number : 317-554-5220
Fax Number :
Provider Business Practice Location Address
First Line : 2505 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-3318
Country : US
Telephone Number : 317-554-5220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2010
Last Update Date : 03/12/2021

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