Provider Demographics
NPI:1104986314
Name:ZETZSCHE, LINDSAY HOPE (MS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:HOPE
Last Name:ZETZSCHE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:HOPE
Other - Last Name:MORTENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 HIGHLAND AVE
Mailing Address - Street 2:WAISMAN CENTER RM 329
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2280
Mailing Address - Country:US
Mailing Address - Phone:608-890-0148
Mailing Address - Fax:608-263-3496
Practice Address - Street 1:1500 HIGHLAND AVE
Practice Address - Street 2:WAISMAN CENTER RM 329
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2274
Practice Address - Country:US
Practice Address - Phone:608-890-0148
Practice Address - Fax:608-263-3496
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS