Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | TBD | NC |
NPI | 1104271915 |
---|---|
Provider Name | Lindsay Nichole Lee Ramsbottom |
First Address | Leland, NC 28451-9530 |
Second Address | Bolivia, NC 28422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2016 |
Last Update Date | 31/01/2019 |