Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 2016-02258 | NC |
N | 207RH0003X | Hematology & Oncology | 2016-02258 | NC |
NPI | 1295022838 |
---|---|
Provider Name | Lindsey Prochaska |
First Address | Atlanta, GA 31193-6857 |
Second Address | Wilmington, NC 28401-7407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2011 |
Last Update Date | 27/05/2021 |