Provider Demographics
NPI:1538281050
Name:LINDSAY, ALAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:N
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:508 E SOUTH TEMPLE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1013
Mailing Address - Country:US
Mailing Address - Phone:801-355-4316
Mailing Address - Fax:801-355-6267
Practice Address - Street 1:508 E SOUTH TEMPLE
Practice Address - Street 2:SUITE 310
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1013
Practice Address - Country:US
Practice Address - Phone:801-355-4316
Practice Address - Fax:801-355-6267
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT165556-12052080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870489599001Medicaid
UTF73270Medicare UPIN