Provider Demographics
NPI:1932507654
Name:MELVIN, LINDSAY (CCMA)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:MELVIN
Suffix:
Gender:F
Credentials:CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-2021
Mailing Address - Country:US
Mailing Address - Phone:302-228-5073
Mailing Address - Fax:
Practice Address - Street 1:310 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-2021
Practice Address - Country:US
Practice Address - Phone:302-228-5073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEH5K4T3L8374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician