Provider Demographics
NPI:1730477498
Name:BUZZARD, LYNDSEY NICOLE (PHARMD, BCACP)
Entity Type:Individual
Prefix:DR
First Name:LYNDSEY
Middle Name:NICOLE
Last Name:BUZZARD
Suffix:
Gender:F
Credentials:PHARMD, BCACP
Other - Prefix:DR
Other - First Name:LYNDSEY
Other - Middle Name:NICOLE
Other - Last Name:HOGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCACP
Mailing Address - Street 1:3113 N LANDON CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-7500
Mailing Address - Country:US
Mailing Address - Phone:918-645-3792
Mailing Address - Fax:
Practice Address - Street 1:1100 N SAINT FRANCIS ST STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214
Practice Address - Country:US
Practice Address - Phone:162-688-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14751183500000X
KS1-155021835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist