Provider Demographics
NPI:1457789463
Name:LEE, LINDY (RN)
Entity type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 RICHARDSON RD SE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-3619
Mailing Address - Country:US
Mailing Address - Phone:762-204-2451
Mailing Address - Fax:762-204-2294
Practice Address - Street 1:367 RICHARDSON RD SE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-3619
Practice Address - Country:US
Practice Address - Phone:762-204-2451
Practice Address - Fax:762-204-2294
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN203834163W00000X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse