Provider Demographics
NPI:1356995187
Name:VALLEE, LYNDSEY MICHELE (NP)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:MICHELE
Last Name:VALLEE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 TSIENNETO RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1559
Mailing Address - Country:US
Mailing Address - Phone:603-552-3309
Mailing Address - Fax:603-965-4177
Practice Address - Street 1:15 TSIENNETO RD
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1559
Practice Address - Country:US
Practice Address - Phone:603-552-3309
Practice Address - Fax:603-965-4177
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH072107-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily