Provider Demographics
NPI:1740968288
Name:ORTEGA, LINDSAY IBETH (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:IBETH
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 WASHINGTON ST # 1064
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2115
Mailing Address - Country:US
Mailing Address - Phone:857-800-2223
Mailing Address - Fax:617-219-3867
Practice Address - Street 1:36 READING HILL AVE
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-1915
Practice Address - Country:US
Practice Address - Phone:857-800-2223
Practice Address - Fax:617-219-3867
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAG4D8A5F8246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy