Basic Information
Provider Information
NPI: 1144947573
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOLSE
FirstName: LYNDSEY
MiddleName: G
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 LOTTIE LN STE 2
Address2:  
City: FAIRHOPE
State: AL
PostalCode: 365327309
CountryCode: US
TelephoneNumber: 2519900535
FaxNumber: 2519900538
Practice Location
Address1: 101 LOTTIE LN STE 2
Address2:  
City: FAIRHOPE
State: AL
PostalCode: 365327309
CountryCode: US
TelephoneNumber: 2519900535
FaxNumber: 2519900538
Other Information
ProviderEnumerationDate: 10/26/2022
LastUpdateDate: 10/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237600000X1317AALN Speech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter 
231H00000X1317AALY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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