Provider Demographics
NPI:1922324748
Name:BALLARD, LYNDSEY STEELMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LYNDSEY
Middle Name:STEELMAN
Last Name:BALLARD
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 1:133 IVY CIR
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-3026
Mailing Address - Country:US
Mailing Address - Phone:336-526-2189
Mailing Address - Fax:
Practice Address - Street 1:2069 ROCKFORD ST
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-5203
Practice Address - Country:US
Practice Address - Phone:336-789-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist