Provider Demographics
NPI:1326605437
Name:ATCHISON, LINSEY ANN (DO)
Entity type:Individual
Prefix:DR
First Name:LINSEY
Middle Name:ANN
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13861 PLANTATION RD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4342
Mailing Address - Country:US
Mailing Address - Phone:239-225-1306
Mailing Address - Fax:239-768-1313
Practice Address - Street 1:13861 PLANTATION RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4342
Practice Address - Country:US
Practice Address - Phone:239-225-1306
Practice Address - Fax:239-768-1313
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116032852207R00000X
390200000X
FLOS18837207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program