Provider Demographics
NPI:1932332756
Name:MORGAN, LINDSAY LAKE (RN, GNP, PHD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LAKE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RN, GNP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FRANCIS DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2506
Mailing Address - Country:US
Mailing Address - Phone:845-475-2530
Mailing Address - Fax:
Practice Address - Street 1:6 FRANCIS DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2506
Practice Address - Country:US
Practice Address - Phone:845-475-2530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340316-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology