Provider Demographics
NPI:1881932564
Name:RAMIREZ, LINDSAY DARLENE
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DARLENE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 MEDICAL ARTS ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3376
Mailing Address - Country:US
Mailing Address - Phone:512-236-9306
Mailing Address - Fax:512-236-9978
Practice Address - Street 1:2911 MEDICAL ARTS ST
Practice Address - Street 2:SUITE 20
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3376
Practice Address - Country:US
Practice Address - Phone:512-236-9306
Practice Address - Fax:512-236-9978
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX808296163W00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse