Provider Demographics
NPI:1346703923
Name:OGLE, LINDSAY NICOLE (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:NICOLE
Last Name:OGLE
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Gender:
Credentials:MD
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Mailing Address - Street 1:360 BERRY ST APT 228
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-1624
Mailing Address - Country:US
Mailing Address - Phone:574-312-0492
Mailing Address - Fax:800-856-9143
Practice Address - Street 1:1812 OAK TREE RIDGE RD
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63005-4424
Practice Address - Country:US
Practice Address - Phone:844-676-1037
Practice Address - Fax:833-664-4548
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2025-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2022013667207Q00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine