Provider Demographics
NPI:1518346584
Name:HALL, LINDSEY (MD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:GUTHRIE HOSPITAL: ATTENTION EMERGENCY MEDICINE DEPARTME
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-0386
Mailing Address - Country:US
Mailing Address - Phone:570-887-3492
Mailing Address - Fax:
Practice Address - Street 1:ONE GUTHRIE SQ
Practice Address - Street 2:GUTHRIE HOSPITAL: ATTENTION EMERGENCY MEDICINE DEPARTME
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1884
Practice Address - Country:US
Practice Address - Phone:570-888-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-23
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
PAMD467508207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program