Basic Information
Provider Information
NPI: 1245614643
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REARIGH
FirstName: LINDSEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1215 DUFF AVE
Address2:  
City: AMES
State: IA
PostalCode: 500105469
CountryCode: US
TelephoneNumber: 5152394400
FaxNumber:  
Practice Location
Address1: 1215 DUFF AVE
Address2:  
City: AMES
State: IA
PostalCode: 500105469
CountryCode: US
TelephoneNumber: 5152394474
FaxNumber: 5159564002
Other Information
ProviderEnumerationDate: 07/15/2015
LastUpdateDate: 09/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X05447IAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


Home