Provider Demographics
NPI:1992498356
Name:KING, LINDSAY NICHOLE
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:NICHOLE
Last Name:KING
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 1:3919 TIVERTON RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2025
Mailing Address - Country:US
Mailing Address - Phone:410-949-5631
Mailing Address - Fax:
Practice Address - Street 1:3919 TIVERTON RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-2025
Practice Address - Country:US
Practice Address - Phone:410-949-5631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula