Provider Demographics
NPI:1225058555
Name:LEAR, LINDA A (MD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:LEAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 STIRRUP CIR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8930
Mailing Address - Country:US
Mailing Address - Phone:859-885-1760
Mailing Address - Fax:
Practice Address - Street 1:209 STIRRUP CIR
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8930
Practice Address - Country:US
Practice Address - Phone:859-885-1760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY29434208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64294341Medicaid
KYK086610Medicare PIN
0960403Medicare ID - Type Unspecified
F97772Medicare UPIN