Provider Demographics
NPI:1508461773
Name:MEDOIT, LINDSEY CORINNE
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CORINNE
Last Name:MEDOIT
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 1:2495 N 50TH ST APT 233C
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1443
Mailing Address - Country:US
Mailing Address - Phone:203-981-6219
Mailing Address - Fax:
Practice Address - Street 1:2495 N 50TH ST APT 233C
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1443
Practice Address - Country:US
Practice Address - Phone:203-981-6219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN703943163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical