Provider Demographics
NPI:1790066843
Name:MANSELL, LINDSEY ERIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ERIN
Last Name:MANSELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5604 HIXSON PIKE
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3243
Mailing Address - Country:US
Mailing Address - Phone:423-842-7482
Mailing Address - Fax:423-842-7483
Practice Address - Street 1:5604 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3243
Practice Address - Country:US
Practice Address - Phone:423-842-7482
Practice Address - Fax:423-842-7483
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist