Provider Demographics
NPI:1598059818
Name:BERTGES, LINDSEY MAURER (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MAURER
Last Name:BERTGES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 METROPOLITAN AVE STE 2
Mailing Address - Street 2:T2244
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3262
Mailing Address - Country:US
Mailing Address - Phone:704-973-3122
Mailing Address - Fax:
Practice Address - Street 1:900 METROPOLITAN AVE STE 2
Practice Address - Street 2:T2244
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-3262
Practice Address - Country:US
Practice Address - Phone:704-973-3122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist