Provider Demographics
NPI:1962068155
Name:ESCOBAR, LINDSEY SILAS (APRN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:SILAS
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-7965
Mailing Address - Country:US
Mailing Address - Phone:863-904-2500
Mailing Address - Fax:
Practice Address - Street 1:1490 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-7965
Practice Address - Country:US
Practice Address - Phone:863-904-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9355681363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner