Provider Demographics
NPI:1528415890
Name:GRANTHAM, LINDSEY FAITH (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:FAITH
Last Name:GRANTHAM
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:FAITH
Other - Last Name:NUGENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-3069
Mailing Address - Fax:614-814-7112
Practice Address - Street 1:6700 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3508
Practice Address - Country:US
Practice Address - Phone:614-293-3069
Practice Address - Fax:614-814-7112
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35145517207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology