Provider Demographics
NPI:1992468771
Name:GALLIGAN, LINDSAY LENORE (RN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LENORE
Last Name:GALLIGAN
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 1:8816 CHERRY HILLS RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2432
Mailing Address - Country:US
Mailing Address - Phone:619-675-1164
Mailing Address - Fax:
Practice Address - Street 1:8816 CHERRY HILLS RD
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2432
Practice Address - Country:US
Practice Address - Phone:619-675-1164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA778217163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA778217Other778217