Provider Demographics
NPI:1689780504
Name:WELLS, LINDSAY M (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:M
Last Name:WELLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6227
Mailing Address - Country:US
Mailing Address - Phone:504-891-1390
Mailing Address - Fax:504-891-1391
Practice Address - Street 1:4321 MAGNOLIA ST.
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:UM
Practice Address - Phone:504-891-1390
Practice Address - Fax:504-891-1391
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA26133207V00000X
IA37197207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1050199Medicaid
LA4P3887627Medicare PIN
LA4P388Medicare PIN