Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 259164 | MA |
N | 111NI0900X | Internist | 259164 | MA |
N | 207R00000X | Internist | 270713 | MA |
N | 111NI0900X | Internist | 270713 | MA |
Y | 207R00000X | Internist | MD61038822 | WA |
Y | 111NI0900X | Internist | MD61038822 | WA |
NPI | 1003229121 |
---|---|
Provider Name | Lindsay Nicole Warner |
First Address | Lynnwood, WA 98036-4706 |
Second Address | Boston, MA 02115-6110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 03/06/2020 |