Provider Demographics
NPI:1760746978
Name:GOODELL, LINDSAY R (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:R
Last Name:GOODELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:17717 MASONIC
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-3158
Mailing Address - Country:US
Mailing Address - Phone:586-296-2983
Mailing Address - Fax:865-694-5180
Practice Address - Street 1:17717 MASONIC
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-3158
Practice Address - Country:US
Practice Address - Phone:586-296-2983
Practice Address - Fax:865-694-5180
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2022-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101290207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine