Provider Demographics
NPI:1467616896
Name:WESTBERG, LINDSEY A (MD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:A
Last Name:WESTBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 COMMERCIAL CIR
Mailing Address - Street 2:
Mailing Address - City:WAMEGO
Mailing Address - State:KS
Mailing Address - Zip Code:66547-9690
Mailing Address - Country:US
Mailing Address - Phone:785-456-2207
Mailing Address - Fax:785-456-2466
Practice Address - Street 1:1704 COMMERCIAL CIR
Practice Address - Street 2:
Practice Address - City:WAMEGO
Practice Address - State:KS
Practice Address - Zip Code:66547-9690
Practice Address - Country:US
Practice Address - Phone:785-456-2207
Practice Address - Fax:785-456-2466
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-34998207Q00000X, 207Q00000X
GA65437207Q00000X
FLTRN 12952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200738570EMedicaid
KS068002406OtherMEDICARE PTAN
KS068002406OtherMEDICARE PTAN