Provider Demographics
NPI:1083972293
Name:STILL, LINDSAY M (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:STILL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9800 SHELBYVILLE RD
Mailing Address - Street 2:STE 220
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2992
Mailing Address - Country:US
Mailing Address - Phone:502-429-8585
Mailing Address - Fax:502-429-6157
Practice Address - Street 1:5 EXECUTIVE CENTER CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4375
Practice Address - Country:US
Practice Address - Phone:501-227-5210
Practice Address - Fax:855-656-7325
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2020-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-10695207K00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR224622001Medicaid