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NPI Code Detail

MEDICARE: LINDSEY GREEN

MEDICARE: LINDSEY GREEN
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
11041C0700XClinical Social Worker0009922506CO
21041C0700XClinical Social Worker14053LA

General Provider Information

NPI Number : 1902349608
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY GREEN
Provider Business Mailing Address
First Line : 8820 HURON ST
Second Line :
City : THORNTON
State : CO
Zip : 80260-6805
Country : US
Telephone Number : 303-386-7690
Fax Number :
Provider Business Practice Location Address
First Line : 4919 CANAL ST STE 203
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5878
Country : US
Telephone Number : 504-483-9883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2016
Last Update Date : 06/18/2020

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Directions to “ LINDSEY GREEN ” Practice Location

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