Provider Demographics
NPI:1588223689
Name:LANDERS, LINDSEY MAUREEN (APRN)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MAUREEN
Last Name:LANDERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:74 WINNERS CIR
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-6496
Mailing Address - Country:US
Mailing Address - Phone:606-231-1662
Mailing Address - Fax:606-330-0332
Practice Address - Street 1:300 DOGPATCH TRADING CTR
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-7282
Practice Address - Country:US
Practice Address - Phone:606-330-0333
Practice Address - Fax:606-330-0332
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3013437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily