Basic Information
| Provider Information | |||||||||
| NPI: | 1407115371 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOLINARI | ||||||||
| FirstName: | LYNDSAY | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4410 MEDICAL DR STE 550 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105752222 | ||||||||
| FaxNumber: | 2105756373 | ||||||||
| Practice Location | |||||||||
| Address1: | 4410 MEDICAL DR STE 550 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105752222 | ||||||||
| FaxNumber: | 2105756373 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2012 | ||||||||
| LastUpdateDate: | 05/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 05/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0207X | 287706-01 | NY | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology | 2080P0207X | T0113 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology | 207R00000X | 63220 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | T0113 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 63220 | NY | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | T0113 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.