Basic Information
Provider Information
NPI: 1548691447
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINDSAY
FirstName: ALEJANDRINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 440 RAYNOLDS ST # 51015
Address2:  
City: EL PASO
State: TX
PostalCode: 799051613
CountryCode: US
TelephoneNumber: 9152154480
FaxNumber: 9152155386
Practice Location
Address1: 4801 ALBERTA AVE
Address2:  
City: EL PASO
State: TX
PostalCode: 79905
CountryCode: US
TelephoneNumber: 9152155300
FaxNumber: 9152158606
Other Information
ProviderEnumerationDate: 12/03/2013
LastUpdateDate: 09/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600XAP124686TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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