Provider Demographics
NPI:1205839958
Name:LINDSAY, PHILIP C (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:C
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 4TH ST
Mailing Address - Street 2:STE 5B
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8421
Mailing Address - Country:US
Mailing Address - Phone:318-769-3501
Mailing Address - Fax:318-769-3502
Practice Address - Street 1:201 4TH ST
Practice Address - Street 2:STE 5B
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8421
Practice Address - Country:US
Practice Address - Phone:318-769-3501
Practice Address - Fax:318-769-3502
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA05337R208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1309681Medicaid
LA1309681Medicaid
LA020017775Medicare PIN
LAB89206Medicare UPIN