Provider Demographics
NPI:1689275026
Name:ACKERMAN, LINDSEY RUTH
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RUTH
Last Name:ACKERMAN
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 1:882 SNYDER ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6374
Mailing Address - Country:US
Mailing Address - Phone:586-914-6083
Mailing Address - Fax:
Practice Address - Street 1:44344 DEQUINDRE RD STE 260
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1040
Practice Address - Country:US
Practice Address - Phone:586-323-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601010035207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology