Provider Demographics
NPI:1093015182
Name:WEBBER, LINDSAY MICHELLE (MS)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:MICHELLE
Last Name:WEBBER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E 67TH ST
Mailing Address - Street 2:APT. 7B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6255
Mailing Address - Country:US
Mailing Address - Phone:646-678-4681
Mailing Address - Fax:
Practice Address - Street 1:220 E 67TH ST
Practice Address - Street 2:APT. 7B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6255
Practice Address - Country:US
Practice Address - Phone:646-678-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303736031174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist