MEDICARE: DR. CASAUNDRA D LINDSEY MD

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	207P00000X	Emergency Medicine Physician	9701	NV
2	207R00000X	Internal Medicine Physician	9701	NV

General Provider Information

NPI Number	:	1881648087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASAUNDRA D LINDSEY MD

Provider Business Mailing Address
First Line	:	3725 NEBLINA DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-8306
Country	:	US
Telephone Number	:	702-234-7855
Fax Number	:

Provider Business Practice Location Address
First Line	:	9120 W RUSSELL RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1229
Country	:	US
Telephone Number	:	702-234-7855
Fax Number	:

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/06/2022

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