Provider Demographics
NPI:1124581509
Name:GODAIR, LINDSY MICHELLE
Entity Type:Individual
Prefix:
First Name:LINDSY
Middle Name:MICHELLE
Last Name:GODAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8251 PINE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2197
Mailing Address - Country:US
Mailing Address - Phone:513-246-4550
Mailing Address - Fax:513-246-4555
Practice Address - Street 1:8251 PINE RD STE 220
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2197
Practice Address - Country:US
Practice Address - Phone:513-246-4550
Practice Address - Fax:513-246-4555
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34.016529207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program