Provider Demographics
NPI:1689364119
Name:KANE, LINDSAY GILBERT
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:GILBERT
Last Name:KANE
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 1:23 PANEL LN
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:NY
Mailing Address - Zip Code:10921-3018
Mailing Address - Country:US
Mailing Address - Phone:860-707-6743
Mailing Address - Fax:
Practice Address - Street 1:23 PANEL LN
Practice Address - Street 2:
Practice Address - City:FLORIDA
Practice Address - State:NY
Practice Address - Zip Code:10921-3018
Practice Address - Country:US
Practice Address - Phone:860-707-6743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist