MEDICARE: LINDSEY WHITE MOTR/L

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	225X00000X	Occupational Therapist	150567	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1649535121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY WHITE MOTR/L

Provider Business Mailing Address
First Line	:	460 VIGO PORT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-1603
Country	:	US
Telephone Number	:	701-426-3415
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 VIGO PORT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-1603
Country	:	US
Telephone Number	:	701-426-3415
Fax Number	:

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

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	11/01/2024

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Directions to “ LINDSEY WHITE MOTR/L” Practice Location

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