Provider Demographics
NPI:1295937027
Name:O'DONNELL, LINSEY DAWN (DO)
Entity type:Individual
Prefix:DR
First Name:LINSEY
Middle Name:DAWN
Last Name:O'DONNELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1901 N. MARKET ST.
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-2612
Mailing Address - Country:US
Mailing Address - Phone:302-421-2700
Mailing Address - Fax:302-421-2705
Practice Address - Street 1:501 W 14TH ST # 5W39
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-320-1912
Practice Address - Fax:302-421-2705
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0003791207Q00000X
PAOS015280207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine