Provider Demographics
NPI:1134242274
Name:KROLL, LINDSEY ANN (CPM)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANN
Last Name:KROLL
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7080 LEACHES CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:AVOCA
Mailing Address - State:WI
Mailing Address - Zip Code:53506-9327
Mailing Address - Country:US
Mailing Address - Phone:608-553-3292
Mailing Address - Fax:
Practice Address - Street 1:7080 LEACHES CROSSING RD
Practice Address - Street 2:
Practice Address - City:AVOCA
Practice Address - State:WI
Practice Address - Zip Code:53506-9327
Practice Address - Country:US
Practice Address - Phone:608-553-3292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife