Provider Demographics
NPI:1851649958
Name:MUSTO, LINDSAY RENEE (APRN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RENEE
Last Name:MUSTO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6801 DIXIE HWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3913
Mailing Address - Country:US
Mailing Address - Phone:859-278-1982
Mailing Address - Fax:859-278-0093
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE B 395
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-1982
Practice Address - Fax:859-278-0093
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHF0612933363LF0000X
KY3007570363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK100450Medicare PIN