Provider Demographics
NPI:1205405966
Name:BLACKMON, LINDSEY CONRY (DO)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:CONRY
Last Name:BLACKMON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9401
Mailing Address - Country:US
Mailing Address - Phone:877-348-1281
Mailing Address - Fax:901-227-3206
Practice Address - Street 1:7205 WOLF RIVER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1758
Practice Address - Country:US
Practice Address - Phone:901-684-1322
Practice Address - Fax:901-682-6368
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2024-08-05
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Provider Licenses
StateLicense IDTaxonomies
ALDO.2981207R00000X
TN5823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine