MEDICARE: STEPHEN F LINDSAY MD INC

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	2086S0129X	Vascular Surgery Physician	A25544	CA

General Provider Information

NPI Number	:	1932328622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHEN F LINDSAY MD INC

Provider Business Mailing Address
First Line	:	447 OLD NEWPORT BLVD
Second Line	:	#210
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4257
Country	:	US
Telephone Number	:	949-574-7176
Fax Number	:	949-574-7180

Provider Business Practice Location Address
First Line	:	447 OLD NEWPORT BLVD
Second Line	:	#210
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4257
Country	:	US
Telephone Number	:	949-574-7176
Fax Number	:	949-574-7180

Authorized Official
Title or Position	:	VASCULAR SURGEON
Name	:	DR. STEPHEN FORSYTH LINDSAY
Credential	:	MD
Telephone Number	:	949-574-7176

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	11/11/2008

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