Provider Demographics
NPI:1316213507
Name:NEWMAN-DUFRESNE, LINDSEY RACHEL
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RACHEL
Last Name:NEWMAN-DUFRESNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:RACHEL
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2304 ALOMA AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3330
Mailing Address - Country:US
Mailing Address - Phone:407-679-9222
Mailing Address - Fax:407-679-9061
Practice Address - Street 1:2304 ALOMA AVE
Practice Address - Street 2:100
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3330
Practice Address - Country:US
Practice Address - Phone:407-679-9222
Practice Address - Fax:407-679-9061
Is Sole Proprietor?:No
Enumeration Date:2012-04-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13185207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS13185OtherMEDICAL LICENSE
FLOS13185OtherMEDICAL LICENSE
FL40471OtherWINTER PARK FAMILY HEALTH CENTER INC MEDICARE PIN
FL1114901816OtherWINTER PARK FAMILY HEALTH CENTER INC GROUP NPI