Provider Demographics
NPI:1508157033
Name:HAY, JOHANNAH LINDSEY DICKENS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHANNAH
Middle Name:LINDSEY DICKENS
Last Name:HAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:120 SOUTH STORY STREET
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:IA
Mailing Address - Zip Code:50036-4739
Mailing Address - Country:US
Mailing Address - Phone:515-432-4444
Mailing Address - Fax:515-432-1331
Practice Address - Street 1:120 SOUTH STORY STREET
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:IA
Practice Address - Zip Code:50036-4739
Practice Address - Country:US
Practice Address - Phone:515-432-4444
Practice Address - Fax:515-432-1331
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60396539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine