Provider Demographics
NPI:1437510617
Name:RAY, LINDSAY CAROLINE (NP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:CAROLINE
Last Name:RAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6040 CASTLE COAKLEY
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-5343
Mailing Address - Country:US
Mailing Address - Phone:340-998-2404
Mailing Address - Fax:340-713-7272
Practice Address - Street 1:6040 CASTLE COAKLEY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5343
Practice Address - Country:US
Practice Address - Phone:340-998-2404
Practice Address - Fax:340-713-7272
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN21052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ026336Medicaid