Provider Demographics
NPI:1811254824
Name:LINDSEY, ROSALIE MAE (LPN)
Entity type:Individual
Prefix:
First Name:ROSALIE
Middle Name:MAE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16051 LONDON RD
Mailing Address - Street 2:
Mailing Address - City:ORIENT
Mailing Address - State:OH
Mailing Address - Zip Code:43146-9516
Mailing Address - Country:US
Mailing Address - Phone:740-869-4541
Mailing Address - Fax:
Practice Address - Street 1:16051 LONDON RD
Practice Address - Street 2:
Practice Address - City:ORIENT
Practice Address - State:OH
Practice Address - Zip Code:43146-9516
Practice Address - Country:US
Practice Address - Phone:740-869-4541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-15
Last Update Date:2012-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN134899-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse