Provider Demographics
NPI:1992462493
Name:DELRIE, LINDSAY DENAY (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DENAY
Last Name:DELRIE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 MITCH JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:GLENMORA
Mailing Address - State:LA
Mailing Address - Zip Code:71433-6601
Mailing Address - Country:US
Mailing Address - Phone:318-210-5125
Mailing Address - Fax:
Practice Address - Street 1:3311 PRESCOTT RD STE 411
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3985
Practice Address - Country:US
Practice Address - Phone:318-448-5310
Practice Address - Fax:318-448-7110
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA222327207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology