Provider Demographics
NPI:1699017236
Name:THOMAS, LINDSAY RENNER (RN, MS, CNS)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:RENNER
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RN, MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:ROOM H2103
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5218
Mailing Address - Country:US
Mailing Address - Phone:650-723-0180
Mailing Address - Fax:650-725-6766
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:ROOM H2103
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5218
Practice Address - Country:US
Practice Address - Phone:650-723-0180
Practice Address - Fax:650-725-6766
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3209364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist