Provider Demographics
NPI:1477991842
Name:ACKLEY-POZZESSERE, LINDSEY (DO)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:ACKLEY-POZZESSERE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 STATION AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2092
Mailing Address - Country:US
Mailing Address - Phone:207-373-6848
Mailing Address - Fax:207-373-6849
Practice Address - Street 1:22 STATION AVE STE 101
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2092
Practice Address - Country:US
Practice Address - Phone:207-373-6848
Practice Address - Fax:207-373-6849
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDO2651207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEE400328047Medicare PIN