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NPI Code Detail

MEDICARE: LINDSAY WILSON

MEDICARE: LINDSAY WILSON
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
1235Z00000XSpeech-Language Pathologist22005167AIN

General Provider Information

NPI Number : 1871899500
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY WILSON
Provider Business Mailing Address
First Line : 1365 GATEWAY TRL
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-5502
Country : US
Telephone Number : 260-417-5052
Fax Number :
Provider Business Practice Location Address
First Line : 4180 SAGE BLUFF XING
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-2363
Country : US
Telephone Number : 260-443-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2011
Last Update Date : 07/18/2025

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Directions to “ LINDSAY WILSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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