MEDICARE: DELACY LINDSEY

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	163WC1500X	Community Health Registered Nurse	218900	NC

General Provider Information

NPI Number	:	1811371511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELACY LINDSEY

Provider Business Mailing Address
First Line	:	2920 N TRYON ST
Second Line	:	SUITE 212
City	:	CHARLOTTE
State	:	NC
Zip	:	28206-2761
Country	:	US
Telephone Number	:	704-604-3089
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 N TRYON ST
Second Line	:	SUITE 212
City	:	CHARLOTTE
State	:	NC
Zip	:	28206-2761
Country	:	US
Telephone Number	:	704-604-3089
Fax Number	:

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

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	07/13/2015

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Directions to “ DELACY LINDSEY ” Practice Location

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