MEDICARE: LINDSEY BAUMGARTNER

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	183500000X	Pharmacist	122262	MN

General Provider Information

NPI Number	:	1801346929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY BAUMGARTNER

Provider Business Mailing Address
First Line	:	4369 BALL RD NE
Second Line	:
City	:	CIRCLE PINES
State	:	MN
Zip	:	55014-2209
Country	:	US
Telephone Number	:	763-784-0862
Fax Number	:

Provider Business Practice Location Address
First Line	:	4369 BALL RD NE
Second Line	:
City	:	CIRCLE PINES
State	:	MN
Zip	:	55014-2209
Country	:	US
Telephone Number	:	763-784-0862
Fax Number	:

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

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	10/12/2016

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Directions to “ LINDSEY BAUMGARTNER ” Practice Location

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