Provider Demographics
NPI:1639158694
Name:LINDLEY, ELISA M (MD)
Entity Type:Individual
Prefix:
First Name:ELISA
Middle Name:M
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:39300 BOB HOPE DR
Mailing Address - Street 2:BANNAN BLDG STE 1207
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3203
Mailing Address - Country:US
Mailing Address - Phone:760-837-3999
Mailing Address - Fax:760-837-0220
Practice Address - Street 1:39300 BOB HOPE DR
Practice Address - Street 2:BANNAN BLDG STE 1207
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-837-3999
Practice Address - Fax:760-837-0220
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2016-02-29
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Provider Licenses
StateLicense IDTaxonomies
CAA71071207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A710711Medicare ID - Type Unspecified
H68522Medicare UPIN