Provider Demographics
NPI:1942454889
Name:KOVAL, LINDSEY PAIGE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:PAIGE
Last Name:KOVAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3818 PETRE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8750
Mailing Address - Country:US
Mailing Address - Phone:937-322-5966
Mailing Address - Fax:
Practice Address - Street 1:3818 PETRE RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-8750
Practice Address - Country:US
Practice Address - Phone:937-322-5966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 317938163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse