Provider Demographics
NPI:1265814560
Name:LINDSEY, MEGAN ELISABETH (MD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELISABETH
Last Name:LINDSEY
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 1:1920 E INDIAN SCHOOL RD APT 2004
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6052
Mailing Address - Country:US
Mailing Address - Phone:612-968-5550
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE S
Practice Address - Street 2:RED BUILDING, P4.100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1829
Practice Address - Country:US
Practice Address - Phone:612-873-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL38440208600000X
MN708432085R0202X
MO2016020397208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery