Provider Demographics
NPI:1336445287
Name:LINDO, ALLAN GEORGE (RN)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:GEORGE
Last Name:LINDO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7911
Mailing Address - Country:US
Mailing Address - Phone:203-300-5201
Mailing Address - Fax:
Practice Address - Street 1:10 WILSON ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7911
Practice Address - Country:US
Practice Address - Phone:203-300-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY620111163W00000X
CT091726163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY620111OtherRN LICENSE