Provider Demographics
NPI:1932619434
Name:RAPP, LINDSEY SUZANNE
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:SUZANNE
Last Name:RAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 HIGHWAY 40 W
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-9578
Mailing Address - Country:US
Mailing Address - Phone:573-356-0986
Mailing Address - Fax:
Practice Address - Street 1:7720 HIGHWAY 40 W
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-9578
Practice Address - Country:US
Practice Address - Phone:573-356-0986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017026700164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse