Provider Demographics
NPI:1841557741
Name:BANNON, LINDSEY C (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:C
Last Name:BANNON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:NMOB SUITE 2100
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538
Mailing Address - Country:US
Mailing Address - Phone:970-203-7153
Mailing Address - Fax:970-336-1505
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE STE 2100
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-203-7153
Practice Address - Fax:970-336-1505
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0063786207V00000X
IN01073727A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology