Provider Demographics
NPI:1942286125
Name:LINDSAY, TAMMY JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:JEAN
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:MO
Mailing Address - Zip Code:63965-0486
Mailing Address - Country:US
Mailing Address - Phone:573-323-4253
Mailing Address - Fax:
Practice Address - Street 1:2725 N WESTWOOD BLVD STE 4
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2367
Practice Address - Country:US
Practice Address - Phone:573-872-4171
Practice Address - Fax:573-872-4675
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014012160207Q00000X
IL036-114307207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OTH000Medicare UPIN