Provider Demographics
NPI:1508529280
Name:MORGAN, LINDSEY C (RN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:C
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6418 S NORMANDIE AVE # 41
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-2630
Mailing Address - Country:US
Mailing Address - Phone:323-829-7759
Mailing Address - Fax:
Practice Address - Street 1:8021 S VERMONT AVE APT 22
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-3563
Practice Address - Country:US
Practice Address - Phone:323-250-9919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99601183700000X
CA95117115163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No183700000XPharmacy Service ProvidersPharmacy Technician