Provider Demographics
NPI:1598362501
Name:GRABFELDER, LINDSEY KAY
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KAY
Last Name:GRABFELDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 SUSSEX RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1653
Mailing Address - Country:US
Mailing Address - Phone:330-998-3126
Mailing Address - Fax:
Practice Address - Street 1:138 SUSSEX RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-1653
Practice Address - Country:US
Practice Address - Phone:330-998-3126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0000255572Medicaid