Provider Demographics
NPI:1497315790
Name:STADTMILLER, LINDSAY K
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:K
Last Name:STADTMILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3256 HEMLOCK HILLS DR
Mailing Address - Street 2:4
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502
Mailing Address - Country:US
Mailing Address - Phone:585-743-7070
Mailing Address - Fax:
Practice Address - Street 1:3256 HEMLOCK HILLS DR
Practice Address - Street 2:4
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502
Practice Address - Country:US
Practice Address - Phone:585-743-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY329084-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse