Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 85147 | GA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME149940 | FL |
NPI | 1982099479 |
---|---|
Provider Name | Lindsey Ryan |
First Address | Orlando, FL 32891-0001 |
Second Address | Tampa, FL 33612-6601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 12/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110957500 | (05) | FL |
ZG3UO | BCBS (01) | FL |