Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | RN.396648 | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | RN.396648 | OH |
NPI | 1457607681 |
---|---|
Provider Name | Roshauna Lindsey |
First Address | Cincinnati, OH 45246-0101 |
Second Address | Cincinnati, OH 45246-1302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 08/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1457607681 | (05) | OH |