Provider Demographics
NPI:1215228515
Name:DAVIS, LINDSEY M (MD MPH)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:M
Other - Last Name:NOWAKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3706 KENNETT PIKE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:DE
Practice Address - Zip Code:19807-2157
Practice Address - Country:US
Practice Address - Phone:302-623-6320
Practice Address - Fax:302-421-5200
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0011413207V00000X
PAMT198920207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology