Provider Demographics
NPI:1376639419
Name:ROLSTON, LINDSEY R (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:R
Last Name:ROLSTON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 530
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-0520
Mailing Address - Country:US
Mailing Address - Phone:765-521-7385
Mailing Address - Fax:765-521-7394
Practice Address - Street 1:2200 FOREST RIDGE PKWY
Practice Address - Street 2:SUITE #240
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-2943
Practice Address - Country:US
Practice Address - Phone:765-521-7385
Practice Address - Fax:765-521-7394
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2020-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01041311207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100377490Medicaid
IN100377490Medicaid
INF55884Medicare UPIN