Provider Demographics
NPI:1225263833
Name:ORRIS, LINDSAY JO (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:JO
Last Name:ORRIS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 4709
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52808-4709
Mailing Address - Country:US
Mailing Address - Phone:563-359-4440
Mailing Address - Fax:563-359-4644
Practice Address - Street 1:2979 VICTORIA ST
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-2784
Practice Address - Country:US
Practice Address - Phone:563-359-4440
Practice Address - Fax:563-359-4644
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2020-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA4321207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1303261Medicaid
IA1225263833OtherBCBS OF IOWA
IA1225263833OtherBCBS OF IOWA