Basic Information
Provider Information
NPI: 1144545153
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NORDWALD
FirstName: LINDSAY
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: KU WOMEN'S HEALTH SPECIALTY CENTERS
Address2: 3901 RAINBOW BLVD., MS 2028
City: KANSAS CITY
State: KS
PostalCode: 66160
CountryCode: US
TelephoneNumber: 9135886200
FaxNumber: 9135886271
Practice Location
Address1: KU WOMEN'S HEALTH SPECIALTY CENTERS
Address2: 3901 RAINBOW BLVD., MS 2028
City: KANSAS CITY
State: KS
PostalCode: 66160
CountryCode: US
TelephoneNumber: 9135886200
FaxNumber: 9135886271
Other Information
ProviderEnumerationDate: 04/01/2010
LastUpdateDate: 10/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X04-37254KSY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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