Provider Demographics
NPI:1811182702
Name:ISRAEL-GAINES, LINDSAY ALISON (MD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALISON
Last Name:ISRAEL-GAINES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 10TH AVE N STE 410
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3368
Mailing Address - Country:US
Mailing Address - Phone:561-763-7629
Mailing Address - Fax:561-232-3799
Practice Address - Street 1:8845 N MILITARY TRL STE 200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6290
Practice Address - Country:US
Practice Address - Phone:561-763-7629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME940302084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001346400Medicaid
FLCM164ZMedicare PIN