Provider Demographics
NPI:1881898153
Name:SUMMERS-BAIR, LINDY JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:LINDY
Middle Name:JEAN
Last Name:SUMMERS-BAIR
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:CA DEPT OF HEALTH CARE SERVICES
Mailing Address - Street 2:1500 CAPITOL MS 2301
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95899-7413
Mailing Address - Country:US
Mailing Address - Phone:916-440-7548
Mailing Address - Fax:916-440-7621
Practice Address - Street 1:SAME
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95899-7413
Practice Address - Country:US
Practice Address - Phone:916-440-7548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46276207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine