Basic Information
Provider Information
NPI: 1245402056
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSEY
FirstName: LINDSAY
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3853 ROSECRANS ST
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921103115
CountryCode: US
TelephoneNumber: 6196928232
FaxNumber: 6195424060
Practice Location
Address1: 3853 ROSECRANS ST
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921103115
CountryCode: US
TelephoneNumber: 6196928232
FaxNumber: 6195424060
Other Information
ProviderEnumerationDate: 04/01/2008
LastUpdateDate: 06/27/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164X00000X160365CAY Nursing Service ProvidersLicensed Vocational Nurse 

ID Information
IDTypeStateIssuerDescription
16036501CALVNOTHER


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