Provider Demographics
NPI:1225654916
Name:LINDSAY, LEASHA (R, NP)
Entity Type:Individual
Prefix:
First Name:LEASHA
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:R, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 E 87TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4929
Mailing Address - Country:US
Mailing Address - Phone:347-596-6160
Mailing Address - Fax:
Practice Address - Street 1:1214 E 87TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4929
Practice Address - Country:US
Practice Address - Phone:347-596-6160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306017363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health