Provider Demographics
NPI:1295258135
Name:NORTON, LINDSAY J
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:J
Last Name:NORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 FULLER RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:ME
Mailing Address - Zip Code:04419-3336
Mailing Address - Country:US
Mailing Address - Phone:207-949-9492
Mailing Address - Fax:207-835-4058
Practice Address - Street 1:2423 ROUTE 2
Practice Address - Street 2:
Practice Address - City:HERMON
Practice Address - State:ME
Practice Address - Zip Code:04401-0609
Practice Address - Country:US
Practice Address - Phone:207-742-2839
Practice Address - Fax:208-835-4058
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP171095207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine