Provider Demographics
NPI:1124534672
Name:TOAL, LYNDSEY C (RN)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:C
Last Name:TOAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5233 CITRUS BLVD APT W168
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-7418
Mailing Address - Country:US
Mailing Address - Phone:504-516-4603
Mailing Address - Fax:
Practice Address - Street 1:5233 CITRUS BLVD APT W168
Practice Address - Street 2:
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-7418
Practice Address - Country:US
Practice Address - Phone:504-516-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA119448163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse