Provider Demographics
NPI:1659704955
Name:MOHRBACHER, LINDSAY FAITH
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:FAITH
Last Name:MOHRBACHER
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 1:1901 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRODHEAD
Mailing Address - State:WI
Mailing Address - Zip Code:53520-2033
Mailing Address - Country:US
Mailing Address - Phone:608-558-8120
Mailing Address - Fax:
Practice Address - Street 1:1901 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:BRODHEAD
Practice Address - State:WI
Practice Address - Zip Code:53520-2033
Practice Address - Country:US
Practice Address - Phone:608-558-8120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-10
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide